HESI Registered Nurse EXIT Practice Exam

When a client at a geriatric day care expresses a desire to go home, what should the nurse do?

1. Invite the client to join the exercise group

2. Tell the client you will call someone to come for her

3. Give the client simple information about what she will be doing

4. Firmly direct the client to her assigned group activity

The correct answer is: Give the client simple information about what she will be doing

Providing simple information about what the client will be doing helps to address any anxiety or confusion they may be experiencing. By offering clear communication about the day's schedule or activities, the nurse can enhance the client's understanding and involvement in their environment. This approach respects the client’s feelings and promotes a sense of control and comfort. When a client expresses a desire to leave, it can often be rooted in feelings of anxiety, uncertainty, or discomfort with their current surroundings. Giving clear and simple information can reassure them and help redirect their attention. It also serves to engage the client, making them feel valued and heard. This approach fosters a therapeutic relationship, encouraging trust and communication between the nurse and the client. The other actions may not address the client's emotional needs or foster a sense of security. For instance, inviting them to join a group without addressing their desire to go home might feel dismissive; telling them that someone will be called could heighten their anxiety if they believe they are being forced to leave; and directing them firmly to an activity could come off as authoritative and disregarding of their feelings.