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?

Answer and Explanation

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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason:

Oxygen saturation of 95% is within the normal range (typically 95-100%) and indicates adequate oxygenation. However, it does not specifically indicate that the lung has re-expanded. Oxygen saturation can be influenced by various factors, including supplemental oxygen and overall respiratory function.

Choice B reason:

Occasional bubbling in the water seal chamber can indicate air leakage from the pleural space, which suggests that the lung has not fully re-expanded. Continuous or intermittent bubbling usually signifies that air is still escaping from the lung into the pleural space.

Choice C reason:

No fluctuations in the water seal chamber, also known as “tidaling,” is a key indicator that the lung has re-expanded. When the lung is fully expanded, the pleural space is eliminated, and there is no longer a pressure difference to cause fluctuations in the water seal chamber. This finding suggests that the lung is now in contact with the chest wall and functioning normally.

Choice D reason:

No reports of pleuritic chest pain can indicate that the client is experiencing less discomfort, but it is not a definitive sign that the lung has re-expanded. Pain levels can vary based on individual pain tolerance and the effectiveness of pain management strategies.

A. Sometimes my child acts bossy with his friends. B. The teacher says my child has to squint to see the board. C. My child has recently lost both front top teeth. D. My child often cheats when we play board games.

Correct Answer is B

Explanation

Choice A reason: Sometimes my child acts bossy with his friends is a common behavior in children as they navigate social interactions and develop leadership skills. While it may require some guidance on social skills, it is not typically a cause for medical concern.

Choice B reason: The teacher says my child has to squint to see the board is concerning because it indicates a potential vision problem. Squinting to see the board can be a sign of refractive errors such as myopia (nearsightedness) or astigmatism. Early detection and correction of vision problems are crucial for a child’s academic performance and overall development.

Choice C reason: My child has recently lost both front top teeth is a normal part of dental development. Children typically lose their primary (baby) teeth around the age of 6 to 7 years as their permanent teeth begin to erupt. This is a natural process and not a cause for concern.

Choice D reason: My child often cheats when we play board games can be a normal part of a child’s development as they learn about rules and fairness. While it may require parental guidance to teach honesty and fair play, it is not typically a medical concern.

View Question and Answer

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

A nurse is assessing a client who reports an increase in anxiety. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client’s lung has re-expanded?

Correct Answer is C

Explanation

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

Correct Answer is B

Explanation

A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?

A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?

A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as at risk?

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is receiving positive pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply)

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication?

A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?

A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?