A nurse and client are engaged in a discussion. The client says, "I feel really close to you. You are the only true friend I have." Which response by the nurse would be most therapeutic?

"Since ours is a professional relationship, let's explore other opportunities in your life for friendship.

"We are definitely not friends. This is strictly professional."

“It makes me feel good that you trust me so much: it is important for the work we are doing together."

"I am sure there are other people in your life who are your friends; besides, we just met."

Answer and Explanation

The Correct Answer is C

A. This response can come off as dismissive or invalidating the client's feelings. It doesn't acknowledge the client's statement about feeling close and needing a friend.

B. This response is blunt and may be perceived as cold or uncaring. It doesn't acknowledge the client's emotional needs or the therapeutic relationship.

C. This response validates the client's feelings of trust and closeness while also emphasizing the importance of the therapeutic relationship for the work being done. It acknowledges the client's emotions in a supportive manner.

D. This response downplays the client's feelings and suggests that the nurse is not a suitable person for friendship. It misses an opportunity to validate the client's emotions and reinforce the therapeutic relationship.

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Correct Answer is ["2"]

Explanation

To calculate the number of vials needed to prepare the ordered dose of lorazepam 3 mg IV using the injectable form with a concentration of 2 mg/mL, we can use the formula:

Number of vials = Ordered dose divided by concentration per vial

Given:

Ordered dose of lorazepam: 3 mg IV

Concentration of lorazepam in each vial: 2 mg/mL

Plugging in the values:

Number of vials = 3 mg divided by 2 mg/mL

Number of vials = 1.5 vials

Since each vial contains 1 mL, and the ordered dose is 3 mg IV, the nurse will need to retrieve 1.5 mL of lorazepam. This means the nurse will need 2 vials (rounded up from 1.5 vials).

A. Situational B. Adventitious C. Maturational D. Developmental

Correct Answer is A

Explanation

A. Situational: Situational crisis refers to a specific event or circumstance that disrupts an individual's normal functioning and coping abilities. In this case, the sudden death of the client's wife is a situational crisis because it is a specific event that has led to the client feeling overwhelmed and paralyzed in coping with work and family responsibilities.

B. Adventitious: Adventitious crisis involves unexpected, traumatic events that are outside the normal range of human experience, such as natural disasters, violent crimes, or terrorist attacks. While the sudden death of a loved one could be considered a traumatic event, it is more accurately described as a situational crisis in this context.

C. Maturational: Maturational crisis relates to developmental stages and life transitions, such as adolescence, marriage, parenthood, or retirement. It involves the challenges and adjustments that come with these life changes. The client's situation, with the sudden death of his wife, is not related to a typical life transition or developmental stage.

D. Developmental: Developmental crisis also involves challenges related to life stages and transitions but is broader than maturational crisis. It can encompass issues like identity formation, career choices, and relationships across the lifespan. The client's crisis, stemming from the sudden death of his wife, is more immediate and specific than a developmental crisis.

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A nurse and client are engaged in a discussion. The client says, "I feel really close to you. You are the only true friend I have." Which response by the nurse would be most therapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following type of crisis is the client experiencing?

Correct Answer is A

Explanation

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