A community health nurse is talking with a client who has chronic kidney disease and is unsure if they want to begin hemodialysis. Which of the following statements should the nurse make?
"Many clients undergoing hemodialysis can resume their usual activities."
"Why are you unsure about starting hemodialysis?"
"Can you clarify what makes you unsure about starting hemodialysis?"
"I recommend you talk to your family about initiating hemodialysis."
The Correct Answer is C
Choice A reason: While it is true that many clients can resume usual activities while on hemodialysis, this statement does not address the client’s uncertainty. It provides reassurance but does not encourage exploration of the client’s feelings or concerns, which is essential in therapeutic communication.
Choice B reason: Asking “Why are you unsure?” can sound confrontational and may make the client defensive. It does not promote open dialogue in a supportive manner.
Choice C reason: Asking the client to clarify what makes them unsure is therapeutic. It invites the client to share their concerns in a nonjudgmental way, allowing the nurse to better understand their perspective and provide individualized support. This is the correct answer because it fosters communication and client-centered care.
Choice D reason: Recommending that the client talk to their family shifts responsibility away from the nurse-client relationship. While family support is important, the nurse’s role is to explore the client’s feelings and provide education, not to delegate the decision-making process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Determining the client’s living situation is the first priority because it establishes the baseline context for care planning. The nurse must assess whether the client lives alone, with family, or in a facility, and evaluate accessibility, safety, and support systems. This information guides all subsequent interventions and ensures that recommendations are tailored to the client’s environment.
Choice B reason: Problem solving with the client is important, but it should occur after the nurse has gathered essential information about the client’s living situation. Without this assessment, problem solving may be ineffective or misaligned with the client’s actual needs.
Choice C reason: Offering community resources is a later step in the process. Resources should be matched to the client’s specific circumstances, which cannot be determined until the nurse understands the living situation. Therefore, this option is premature as the first action.
Choice D reason: Assisting the client with decision-making is valuable, but decisions must be informed by a thorough assessment of the client’s environment and needs. Without this foundation, decision-making may lack relevance or practicality.
Correct Answer is A
Explanation
Choice A reason: Wearing gloves when washing dishes is the correct answer because peripheral neuropathy causes decreased sensation in the hands, increasing the risk of burns or injury from hot water or sharp objects. Gloves provide protection and reduce exposure to extreme temperatures, thereby preventing injury.
Choice B reason: Loose-fitting shoes can increase the risk of falls and foot injuries because they do not provide adequate support or protection. Clients with neuropathy require well-fitting shoes to prevent trauma and pressure injuries.
Choice C reason: Inspecting feet weekly is insufficient. Clients with neuropathy should inspect their feet daily due to the high risk of unnoticed injuries, infections, or ulcers. Weekly inspection delays detection and treatment of complications.
Choice D reason: Eating foods low in fiber is inappropriate. Fiber is important for maintaining gastrointestinal health, especially since chemotherapy can cause constipation. A low-fiber diet would worsen bowel issues rather than help neuropathy.
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