A nurse is assessing a client who reports an increase in anxiety. Which of the following responses should the nurse make?
It doesn’t appear as though you are feeling anxious.
Tell me what has been happening lately.
I think you should see a therapist.
Do you think your anxiety is worse than everyone else’s?
The Correct Answer is B
Choice A reason:
Saying “It doesn’t appear as though you are feeling anxious” is not an appropriate response. This statement invalidates the client’s feelings and can make them feel misunderstood or dismissed. It is important for the nurse to acknowledge the client’s report of anxiety and provide a supportive environment for them to express their concerns.
Choice B reason:
“Tell me what has been happening lately” is the most appropriate response. This open-ended question encourages the client to share more about their experiences and feelings, which can help the nurse understand the underlying causes of the anxiety. It also shows empathy and a willingness to listen, which are crucial in building a therapeutic relationship.
Choice C reason:
“I think you should see a therapist” might be a helpful suggestion, but it is not the best immediate response. While referring the client to a therapist can be part of the long-term management plan, the nurse should first listen to the client’s concerns and provide immediate support. Suggesting therapy right away might make the client feel like their concerns are being brushed off.
Choice D reason:
“Do you think your anxiety is worse than everyone else’s?” is not a helpful response. This question can come across as judgmental and may make the client feel defensive or invalidated. It is important for the nurse to focus on understanding the client’s individual experience rather than comparing it to others.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5.3"]
Explanation
Step 1: Convert the child’s weight from pounds to kilograms.
- Weight in pounds = 28 lb
- Conversion factor = 1 kg ÷ 2.2 lb
- Weight in kilograms = 28 lb ÷ 2.2
- Result: 12.727 kg (rounded to three decimal places)
Step 2: Calculate the dose of acetaminophen in mg.
- Dose required = 10 mg × Weight in kg
- Dose required = 10 mg × 12.727 kg
- Result: 127.27 mg (rounded to two decimal places)
Step 3: Determine the volume of acetaminophen solution needed in mL.
- Concentration of acetaminophen = 120 mg ÷ 5 mL
- Volume required (mL) = Dose required (mg) ÷ Concentration (mg/mL)
- Volume required (mL) = 127.27 mg ÷ (120 mg ÷ 5 mL)
- Result: 127.27 mg ÷ 24 mg/mL
- Result: 5.303 mL (rounded to three decimal places)
Step 4: Round the volume to the nearest tenth.
- Rounded result: 5.3 mL
Final Answer: The nurse should administer 5.3 mL of acetaminophen.
Correct Answer is D
Explanation
Choice A reason: The procedure will be cancelled if the urinalysis indicates the presence of red blood cells
This statement is incorrect. The presence of red blood cells in the urine does not necessarily cancel an intravenous pyelogram (IVP). The test is often used to diagnose conditions that might cause blood in the urine, such as kidney stones or tumors. Therefore, this statement does not accurately reflect the procedure’s protocol.
Choice B reason: You will be able to resume your regular diet as soon as the test is complete
This statement is correct. After an IVP, clients can typically resume their regular diet unless otherwise instructed by their healthcare provider. However, this is not the most critical piece of information for the client to understand about the procedure.
Choice C reason: High-frequency sound waves will be used to identify renal system structures
This statement is incorrect. An IVP uses X-rays and a contrast dye to visualize the urinary tract, not high-frequency sound waves. High-frequency sound waves are used in ultrasound imaging, which is a different diagnostic procedure.
Choice D reason: After the procedure, you will be encouraged to drink plenty of fluids
This statement is correct and important. After an IVP, clients are encouraged to drink plenty of fluids to help flush the contrast dye out of their system and reduce the risk of kidney damage. This is a crucial part of post-procedure care and should be emphasized to the client.
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