A nurse cares for a client with chronic obstructive pulmonary disease (COPD). The client states that going out with friends is no longer enjoyable.
How would the nurse respond?
There are a variety of support groups for people who have COPD.
I will ask your primary health care provider to prescribe an antianxiety agent.
I'd like to hear about thoughts and feelings causing you to limit social activities.
Friends can be a good support system for clients with chronic disorders.
The Correct Answer is C
Choice A rationale
While support groups can be beneficial, this response is premature and dismisses the client's immediate emotional expression. It focuses on a generalized solution rather than exploring the client's individual feelings and the specific reasons for their social withdrawal. Understanding the underlying psychological impact of chronic illness is crucial for providing person-centered care.
Choice B rationale
Prescribing medication is outside the nurse's scope of practice. Furthermore, immediately suggesting an antianxiety agent without a comprehensive assessment of the client's mental and emotional state can mask the true source of their distress and prevent exploration of coping mechanisms or other interventions.
Choice C rationale
This therapeutic communication technique prioritizes active listening and allows the client to elaborate on their feelings and experiences. It demonstrates empathy and respect, fostering a trusting relationship. Understanding the client's perspective is fundamental to developing an individualized and effective care plan for managing the psychosocial challenges of COPD.
Choice D rationale
While friends can offer support, this statement generalizes and might not be relevant to the client's specific situation. It also shifts the focus away from the client's internal experience and onto external factors, potentially minimizing their current distress and the impact of their condition on social engagement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale
Swimming is often recommended for asthmatic children because the warm, humid air around a swimming pool helps to keep airways moist, reducing the likelihood of exercise-induced bronchoconstriction. The horizontal body position also facilitates easier breathing and lessens the impact of gravity on respiratory effort.
Choice B rationale
Gymnastics involves short bursts of intense activity and often takes place in indoor environments where air quality might be variable or allergens present. The sudden, high-intensity exertion without sustained rhythmic breathing can trigger exercise-induced asthma, making it less ideal for asthmatic children due to fluctuating energy demands.
Choice C rationale
Baseball involves intermittent activity with periods of rest, allowing for recovery between bursts of exertion. This stop-and-go nature, combined with playing outdoors in potentially open air, generally makes it a suitable sport for children with asthma as it reduces the continuous strenuous effort that can trigger bronchospasm.
Choice D rationale
Cross-country skiing, especially in cold, dry air, is a significant trigger for exercise-induced bronchoconstriction in asthmatic individuals. The combination of intense, sustained exertion and breathing cold, dry air rapidly irritates and constricts the airways, making it a high-risk activity for asthmatic children.
Choice E rationale
Distance running involves prolonged, continuous, and often high-intensity aerobic activity, which can lead to significant increases in minute ventilation. This sustained exertion, especially in varying environmental conditions, is a common and potent trigger for exercise-induced asthma, making it a challenging sport for many asthmatic children.
Correct Answer is C
Explanation
Choice A rationale
Long-acting beta agonists (LABAs) are not rescue medications and should not be carried for immediate use during an asthma attack. Their onset of action is too slow to provide rapid relief, and their use for acute symptoms could mask worsening asthma, delaying appropriate treatment with a short-acting beta agonist.
Choice B rationale
LABAs are designed for maintenance therapy to prevent asthma symptoms over an extended period. Taking them only when an asthma attack begins is an inappropriate use, as they are not meant for acute symptom relief and will not provide immediate bronchodilation required during an exacerbation.
Choice C rationale
LABAs are prescribed as a daily maintenance medication to provide sustained bronchodilation and help prevent acute asthma attacks. Consistent daily use, typically in the morning, helps to control airway inflammation and reactivity, reducing the frequency and severity of future exacerbations by maintaining open airways.
Choice D rationale
Weaning off LABA medication should only be done under the direct supervision of a healthcare provider. Abrupt discontinuation can lead to a rebound in asthma symptoms. The decision to discontinue or adjust medication is based on a comprehensive assessment of asthma control and lung function, not just symptom absence.
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