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 ["250"]
Explanation
Step 1: Convert pounds to kilograms. 110 lb ÷ (2.2 lb/1 kg) = 50 kg.
Step 2: Calculate the total milligrams for the dose. 5 mg/kg/day × 50 kg = 250 mg/day. This patient will receive 250 mg for this dose.
Correct Answer is A
Explanation
Choice A rationale
Oseltamivir, an antiviral neuraminidase inhibitor, is most effective when administered within 48 hours of influenza symptom onset. It works by inhibiting the viral neuraminidase enzyme, preventing the release of new virions from infected cells, thereby reducing viral spread and shortening the duration and severity of illness, if given early.
Choice B rationale
Rest is indeed important for recovery from influenza, as it conserves energy and allows the immune system to combat the infection. However, decreasing fluid intake is contraindicated; adequate hydration is crucial to prevent dehydration, especially with fever, and to help thin respiratory secretions, facilitating their clearance.
Choice C rationale
Influenza is a viral infection; therefore, antibiotics, which target bacterial pathogens, are ineffective against the influenza virus itself. Administering antibiotics would be inappropriate and could contribute to antibiotic resistance without providing therapeutic benefit for the viral illness, unless a secondary bacterial infection is suspected.
Choice D rationale
Admission to an acute care facility is generally reserved for severe cases of influenza, such as those with respiratory distress, hypoxemia, or significant comorbidities. For a patient whose symptoms started only 24 hours prior and without severe complications, outpatient management with antiviral therapy is typically sufficient.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.