NCLEX Practice Test

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What is the most appropriate intervention when the client's spouse insists on coming into the room during resuscitation efforts?

  1. Allow the spouse into the room and provide a chair

  2. Call the chaplain to sit with the spouse outside the room

  3. Have the unit secretary escort the spouse to the waiting room

  4. Tell the spouse that the resuscitation is too graphic to be witnessed

The correct answer is: Allow the spouse into the room and provide a chair

Allowing the spouse into the room and providing a chair is the most appropriate intervention because it takes into consideration the emotional needs of the spouse while also allowing them to be present and supportive during the resuscitation process. It shows compassion and respect for the spouse's feelings and allows them to be physically close to their loved one. Calling the chaplain or having the unit secretary escort the spouse to the waiting room may be viewed as dismissive or insensitive to the spouse's emotional needs. Telling the spouse that the resuscitation is too graphic may cause additional distress and is not the most compassionate approach.

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