A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?

"I think you should talk with your family about your anger

"You are probably very depressed, which is understandable with such a diagnosis."

"Tell me more about how you are feeling"

"Why haven't you shared your feelings with your family?"

Answer and Explanation

The Correct Answer is C

A. "I think you should talk with your family about your anger." This response shifts the focus to action without first exploring the client's feelings, which may not be therapeutic initially.
B. "You are probably very depressed, which is understandable with such a diagnosis." This response labels the client's emotions and may not be helpful in allowing the client to explore their feelings further.
C. "Tell me more about how you are feeling." This response uses therapeutic communication by encouraging the client to express feelings and concerns, providing emotional support and validation.
D. "Why haven't you shared your feelings with your family?" This response can sound accusatory and may not encourage open communication.

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Correct Answer is D

Explanation

A. The nurse explains the benefits of smoking cessation: This approach uses the cognitive domain, focusing on knowledge and understanding.
B. The client starts to use nicotine gum as part of their plan to stop smoking: This action uses the psychomotor domain, involving physical tasks and skills.
C. The client uses a nicotine patch to assist in smoking cessation: This action also involves the psychomotor domain.
D. Encourage the client to share their feelings about smoking cessation: The affective domain involves emotions, attitudes, and feelings. Encouraging the client to share their feelings directly engages this domain.

A. The nurse determines the client’s readiness to learn B. The nurse discusses types of food that the client needs to avoid C. The nurse describes which supplies would be needed D. Ask the client to demonstrate emptying of the colostomy bag

Correct Answer is A

Explanation

A. The nurse determines the client’s readiness to learn: Assessing the client's readiness to learn is part of the assessment phase of the teaching plan. It involves evaluating the client’s emotional and cognitive state to ensure they are prepared to absorb new information.
B. The nurse discusses types of food that the client needs to avoid: This is part of the teaching or implementation phase, not the assessment phase.
C. The nurse describes which supplies would be needed: Describing necessary supplies is also part of the teaching or implementation phase.
D. Ask the client to demonstrate emptying of the colostomy bag: This is part of the evaluation phase, where the nurse assesses the client’s ability to perform the task taught.

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A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who wishes to stop smoking. Which of the following teaching methods uses the affective domain of learning?

Correct Answer is D

Explanation

The nurse is preparing a teaching plan for a client who is learning how to care for their colostomy. The nurse should identify the following actions as part of the assessment step in the teaching plan.

Correct Answer is A

Explanation

The client states the reason they have an allergy to codeine is because when she takes it, the medication makes her nauseous. It is an important role of the nurse to respond in the following manner:

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A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?

A charge nurse is teaching a new nurse the importance of patient confidentiality in providing competent care. What professional standards would the charge nurse refer to in the teaching?

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider objective data?

Determine which of the following goals is a SMART goal

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