A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore." Which of the following responses should the nurse make?

"Most people are happy when their children grow up and leave home."

"You should be proud that your children are becoming independent."

"Maybe you should consider why you are feeling useless."

"People in middle adulthood often find satisfaction in nurturing and guiding young people."

Answer and Explanation

The Correct Answer is D

A. "Most people are happy when their children grow up and leave home.": This response minimizes the client’s feelings and may make them feel dismissed. It does not explore or validate the client’s sense of loss or lack of purpose, which is important for emotional support during the transition of children leaving home.

B. "You should be proud that your children are becoming independent.": While acknowledging accomplishments can be positive, this statement shifts focus away from the client’s current feelings of uselessness. It does not address the underlying emotional experience or provide guidance on finding new sources of meaning in middle adulthood.

C. "Maybe you should consider why you are feeling useless.": This statement can come across as judgmental or directive and may make the client feel blamed for their emotions. Open, empathetic exploration of feelings is more effective than prompting the client to analyze themselves prematurely.

D. "People in middle adulthood often find satisfaction in nurturing and guiding young people.": This response normalizes the client’s feelings while offering a constructive perspective. It validates the sense of loss and provides an avenue for reframing purpose by suggesting alternative meaningful roles, such as mentoring, volunteering, or community involvement.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","F"]

Explanation

A. Place the client on droplet isolation precautions: Bacterial pneumonia is commonly transmitted through respiratory droplets generated by coughing, sneezing, or talking. Droplet precautions reduce the risk of transmission to healthcare workers and other patients. Initiating or maintaining droplet isolation is appropriate in an infectious respiratory disease.

B. Apply oxygen at 2 L/min via nasal cannula: The client’s oxygen saturation is 91% on room air, which indicates mild hypoxemia and inadequate oxygenation. Supplemental oxygen via nasal cannula helps increase the fraction of inspired oxygen and improve arterial oxygen saturation. Providing low-flow oxygen is an appropriate initial intervention.

C. Request a prescription for an antipyretic medication: The client’s temperature is 38.6°C (101.5°F), indicating fever associated with infection and systemic inflammatory response. Antipyretic medications such as acetaminophen can help reduce fever, decrease metabolic demand, and improve comfort. Managing fever is an important supportive intervention.

D. Wear an N95 mask when providing care to the client: N95 respirators are required for airborne precautions, which are used for diseases transmitted through very small aerosolized particles such as tuberculosis or measles. Pneumonia is typically managed with droplet precautions, which require a surgical mask rather than an N95 respirator.

E. Request a prescription for an antihypertensive medication: The client’s blood pressure is 110/68 mm Hg, which is within a normal range and does not indicate hypertension. Administering or requesting antihypertensive therapy in this situation would be inappropriate and could potentially lower blood pressure unnecessarily.

F. Remain 1 m (3 feet) from the client:Large respiratory droplets generally do not travel further than 3 to 6 feet. Maintaining a distance of at least 1 meter (3 feet) is a standard component of droplet precautions when not providing direct care.

A. Assign the client to a room with a negative airflow system. B. Use alcohol-based hand sanitizer when leaving the client's room. C. Clean contaminated surfaces in the client's room with a phenol solution. D. Have family members wear a gown and gloves when visiting.

Correct Answer is D

Explanation

A. Assign the client to a room with a negative airflow system: Negative-pressure rooms are used for airborne infections, such as tuberculosis, to prevent the spread of droplet nuclei. Clostridium difficile is transmitted via the fecal-oral route, primarily through contact with contaminated surfaces or hands, so a negative airflow system is not required. Contact precautions are sufficient

B. Use alcohol-based hand sanitizer when leaving the client's room: Alcohol-based hand sanitizers are ineffective against Clostridium difficile spores. Proper hand hygiene requires washing hands thoroughly with soap and water to physically remove spores, especially after contact with the client or contaminated surfaces.

C. Clean contaminated surfaces in the client's room with a phenol solution: Clostridium difficile spores are resistant to many common disinfectants, including phenol-based solutions. The recommended disinfectant is a bleach-based solution or EPA-approved sporicidal agent to effectively eradicate spores from surfaces and reduce infection risk.

D. Have family members wear a gown and gloves when visiting: Contact precautions, including wearing gowns and gloves, are essential for anyone entering the room of a client with Clostridium difficile infection. This prevents the transfer of spores to clothing, hands, or other clients, reducing the risk of nosocomial spread. Family and visitors should adhere to the same infection control measures as healthcare personnel.

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A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore." Which of the following responses should the nurse make?

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Explanation

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