Doubt about a question

#1 - there are no "what ifs" in the world of NCLEX testing - all you know is what the question states. Your challenge is to choose the BEST answer, not what you would do in the "real world" of nursing. Acting out of concern for patient safety is always the "best" answer :)

"Requests to get out of bed" is your clue in the stem. It indicates that while his order is up ad lib, he may need assistance. In the real world, you'll find that many times perfectly able bodied patients need help or that you help them up regardless. People in a hospital bed, for whatever reason, pretty much across the board could use and appreciate a helping hand. It promotes safety and conveys caring.

I like to use the power of imagination and make verbalize the answers to questions as responses by the me as the nurse. The patient says "Nurse, I'd like to get out of bed and go to the bathroom". Now what response by you would show you care about the patient and you are concerned for his safety (two strategies which work 99% of the time)

1. "Sir, getting out of bed is not a good idea. Here is a urinal."

2. "Sir, let me get Beth, the CNA, and she will help you to the bathroom."

3. "Sir, here are your slippers. The bathroom is over there."