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.

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Correct Answer is D

Explanation

Choice A reason: There are no current occurrences of smallpox. Smallpox was declared eradicated in 1980 by the World Health Organization (WHO) after a successful global vaccination campaign. Therefore, the statement that there are rare, occasional occurrences of smallpox is incorrect.

Choice B reason: Smallpox lesions do not appear in various stages of healing at the same time. Unlike chickenpox, where lesions can be in different stages of healing simultaneously, smallpox lesions typically develop and progress through stages uniformly. This means that all lesions are generally at the same stage of development at any given time.

Choice C reason: The vesicles of smallpox are indeed more abundant on the face and extremities compared to the trunk. This distribution pattern is a distinguishing feature of smallpox, as opposed to chickenpox, which tends to have a more central distribution with more lesions on the trunk.

Choice D reason: Vaccination against smallpox provides lifelong immunity. The smallpox vaccine, which uses a live virus related to smallpox called vaccinia, has been shown to provide long-lasting immunity. Studies have indicated that immunity can last for decades, and even those vaccinated many years ago retain some level of protection.

A. “I will take this medication with an antacid.” B. “I will reduce my fluid intake with this medication.” C. “I will take this medication 1 hour before meals and at bedtime.” D. “I will take this medication as needed to reduce pain.”

Correct Answer is C

Explanation

Choice A reason:

The statement “I will take this medication with an antacid” is incorrect. Sucralfate should not be taken simultaneously with antacids because antacids can interfere with the effectiveness of sucralfate. If antacids are needed, they should be taken at least 30 minutes before or after sucralfate.

Choice B reason:

The statement “I will reduce my fluid intake with this medication” is incorrect. There is no need to reduce fluid intake while taking sucralfate. In fact, maintaining adequate hydration is important for overall health and can help with the medication’s effectiveness.

Choice C reason:

The statement “I will take this medication 1 hour before meals and at bedtime” is correct. Sucralfate works best when taken on an empty stomach, typically 1 hour before meals and at bedtime. This timing helps the medication form a protective barrier over the ulcer, promoting healing.

Choice D reason:

The statement “I will take this medication as needed to reduce pain” is incorrect. Sucralfate is not intended to be taken on an as-needed basis for pain relief. It should be taken regularly as prescribed to effectively treat and heal the ulcer.

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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

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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