A client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?
"You should try to ignore these feelings and focus on your dialysis treatments."
"It's normal to feel this way. Consider joining a support group to connect with others who are going through similar experiences."
"You need to accept that these feelings are part of having ESRD and try to be more positive."
"You should talk to your family less about your feelings to avoid burdening them."
The Correct Answer is B
A. This response is not appropriate. Telling the client to ignore their feelings can invalidate their emotions and may lead to further distress.
B. This response is the correct approach. Acknowledging the client's emotions as normal and suggesting joining a support group allows the client to connect with others who can empathize with their experiences and provide emotional support.
C. This response is not helpful. Encouraging the client to be more positive dismisses their genuine feelings and does not address their emotional needs.
D. This response is not supportive. Encouraging the client to talk less to their family about their feelings can lead to feelings of isolation and may hinder the client from seeking the support they need.
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Related Questions
Correct Answer is C
Explanation
A. This statement is incorrect. Renal transplantation is not always temporary; it can provide long-term relief and improve the client's quality of life.
B. This statement is incorrect. While renal transplantation is beneficial, recipients will need to take lifelong immunosuppressive medications to prevent organ rejection.
C. This statement is correct. Renal transplantation is a treatment that can provide immediate relief from the symptoms of ESRD and restore normal kidney function, allowing the client to lead a more normal life.
D. This statement is incorrect. Renal transplantation is not limited to clients with a specific genetic predisposition; it is a treatment option considered for any eligible client with ESRD.
Correct Answer is B
Explanation
A. This is incorrect because while kidney transplantation is an essential treatment option for ESRD, it is not the only option. Dialysis (hemodialysis or peritoneal dialysis) is also a viable treatment to replace kidney function for clients who are not transplant candidates or awaiting transplantation.
B. This is correct. Dialysis is the primary treatment for ESRD, providing renal replacement therapy by removing waste products and excess fluid from the blood. Kidney transplantation is another treatment option for eligible candidates who may benefit from a functioning kidney.
C. This is incorrect because effective treatment options, such as dialysis and kidney transplantation, are available for ESRD. There is ongoing research and development in nephrology, but new therapies have not replaced the standard treatments.
D. This is incorrect because ESRD is a severe condition where the kidneys have permanently lost their ability to function, and treatment options such as dialysis or transplantation are necessary to sustain life.
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