A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can assist the client in this stage of the nurse-client relationship with which therapeutic response?

'We have to go over these instructions before you can go. Please try to listen."

"You should be able to regulate your feelings better by now. Why are you angry?"

"I can sense you are angry. Tell me how you feel about being discharged today."

"Would you rather not be discharged today?"

Answer and Explanation

The Correct Answer is C

A. "We have to go over these instructions before you can go. Please try to listen." - This response may come across as dismissive or confrontational, which can escalate the client's anger and hinder effective communication. It does not demonstrate empathy or understanding of the client's emotions.

B. "You should be able to regulate your feelings better by now. Why are you angry?" - This response can be perceived as judgmental and invalidating of the client's emotions. It does not promote a supportive or therapeutic environment for the client to express their feelings.

C. "I can sense you are angry. Tell me how you feel about being discharged today." - This response acknowledges the client's emotions empathetically and invites them to express their feelings openly. It demonstrates a therapeutic understanding of the client's perspective and creates an opportunity for effective communication and problem-solving.

D. "Would you rather not be discharged today?" - This response acknowledges the possibility that the client may have concerns or preferences about discharge. It opens the door for further discussion and exploration of the client's feelings and needs regarding the discharge process.

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Correct Answer is ["2"]

Explanation

To calculate the number of vials needed to prepare the ordered dose of lorazepam 3 mg IV using the injectable form with a concentration of 2 mg/mL, we can use the formula:

Number of vials = Ordered dose divided by concentration per vial

Given:

Ordered dose of lorazepam: 3 mg IV

Concentration of lorazepam in each vial: 2 mg/mL

Plugging in the values:

Number of vials = 3 mg divided by 2 mg/mL

Number of vials = 1.5 vials

Since each vial contains 1 mL, and the ordered dose is 3 mg IV, the nurse will need to retrieve 1.5 mL of lorazepam. This means the nurse will need 2 vials (rounded up from 1.5 vials).

A. Natural disasters B. Death of a loved one C. Leaving home for the first time D. Loss of a job E. Violent crimes

Correct Answer is ["A","B","E"]

Explanation

A. Natural disasters: Natural disasters such as earthquakes, hurricanes, floods, and wildfires can lead to adventitious crises due to the sudden and often overwhelming impact on individuals and communities.

B. Death of a loved one: Experiencing the death of a loved one, especially unexpectedly or under traumatic circumstances, can precipitate an adventitious crisis characterized by intense emotional distress and disruption in functioning.

C. Leaving home for the first time: While leaving home for the first time can be a significant life transition, it is not typically classified as an adventitious crisis. It may cause stress and adjustment difficulties but is more commonly associated with developmental or situational stressors rather than adventitious crises.

D. Loss of a job: Losing a job can be a distressing event that leads to financial instability and emotional challenges. However, it is generally considered a situational crisis rather than an adventitious crisis, which typically involves more acute and external factors beyond individual control.

E. Violent crimes: Experiencing or witnessing violent crimes, such as assault, robbery, or domestic violence, can trigger an adventitious crisis due to the trauma and threat to personal safety involved.

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A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can assist the client in this stage of the nurse-client relationship with which therapeutic response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A client presents to the emergency department with a flat affect and disheveled appearance. The nurse objectively can see that the client has experienced an adventitious crisis. Which are examples of adventitious crises? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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