A client tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic?

"You feel that your mother does not want you to come back home?"

"It's quite common for clients to feel that way after a lengthy hospitalization."

"Why don't you talk to your mother? You may find out she doesn't feel that way."

Your mother seems like an understanding person. I'll help you approach her."

Answer and Explanation

The Correct Answer is A

a. "You feel that your mother does not want you to come back home?" This response uses reflection, a therapeutic communication technique, to encourage the client to express and explore their feelings further.
b. "It's quite common for clients to feel that way after a lengthy hospitalization." While this normalizes the client's feelings, it might dismiss the client's unique emotional experience and does not invite further exploration.
c. "Why don't you talk to your mother? You may find out she doesn't feel that way." This response provides a solution but does not address the client's current emotional state or encourage them to express their feelings.
d. "Your mother seems like an understanding person. I'll help you approach her." This response makes an assumption about the mother and shifts the focus away from the client’s feelings.

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Correct Answer is C

Explanation

a. His wife has minimal family support: While limited family support might affect the caregiver’s burden, it does not directly imply immediate safety concerns for the client.
b. His wife works from home in telecommunication: Working from home can be beneficial as she is physically present to assist the client.
c. The client smokes one pack of cigarettes per day. Smoking increases the risk of cardiovascular events and other health complications, which can exacerbate symptoms of vascular NCD and pose safety risks.
d. The client has worked nightshift his entire life. While working night shifts might affect his sleep patterns, it does not pose an immediate safety concern compared to the risk associated with smoking.

A. Muscle rigidity and stiffness B. constipation and dry mouth C. Tachycardia and hypotension D. Reports of photosensitivity

Correct Answer is B

Explanation

a. Muscle rigidity and stiffness: This is correct because muscle rigidity and stiffness are signs of extrapyramidal symptoms (EPS), which benztropine is prescribed to treat.
b. Constipation and dry mouth: These are common side effects of antipsychotics but do not warrant benztropine, which is specifically used to manage EPS.
c. Tachycardia and hypotension: These are not related to the EPS that benztropine treats. They may require other interventions.
d. Reports of photosensitivity: Photosensitivity is not related to EPS and does not require benztropine.

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A client tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with vascular neurocognitive disorder (NCD) is discharged to home under the care of his wife. Which information should cause the nurse to question the client's safety?

Correct Answer is C

Explanation

A client diagnosed with schizophrenia disorder is prescribed haloperidol 50 mg oral BID, benztropine 1 mg oral prn, and zolpidem 10 mg oral hs. Which client behavior would warrant the nurse to administer benztropine?

Correct Answer is B

Explanation

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