A nurse is assessing self-management skills for a client who has preeclampsia without severe features. Which of the following client statements should the nurse recognize as an indication the client is coping effectively?
"I need to be discharged now due to household responsibilities."
"I am so bored of being on restricted activity."
"I am using a notebook to record questions for my providers."
"I don't want any visitors while I'm here."
The Correct Answer is C
Rationale:
A. "I need to be discharged now due to household responsibilities.": This statement reflects denial of the seriousness of preeclampsia and poor coping, as the client is prioritizing home duties over health. Clients with preeclampsia require rest, monitoring, and adherence to medical advice to prevent complications such as eclampsia or HELLP syndrome.
B. "I am so bored of being on restricted activity.": Expressing boredom is a normal emotional reaction but does not indicate effective coping. It shows frustration with activity limitations rather than acceptance and constructive adaptation to the treatment plan.
C. "I am using a notebook to record questions for my providers.": Keeping a notebook demonstrates proactive engagement and self-management. This behavior reflects effective coping, as the client is taking responsibility for understanding their condition and participating in care decisions to promote safety and adherence.
D. "I don't want any visitors while I'm here.": Avoiding social support may indicate withdrawal or emotional distress. Isolation can hinder coping and increase anxiety, whereas maintaining open communication and support networks usually improves adjustment to the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. A client who has an open compound fracture of the humerus: A compound fracture involves broken bone protruding through the skin and carries a risk of infection and significant blood loss. This client requires urgent care and should be tagged yellow (delayed) or red (immediate) depending on other injuries.
B. A client who has multiple facial lacerations: Facial lacerations that are not life-threatening can be treated after higher-acuity clients are stabilized. These clients are mobile, alert, and their injuries are minor, which qualifies them for a green tag (minimal, “walking wounded”).
C. A client who has a puncture wound in the right lower lung: A puncture wound to the lung can compromise respiratory function and oxygenation. This is a life-threatening injury, requiring immediate intervention and a red tag.
D. A client who has full-thickness burns over the lower extremities: Full-thickness burns compromise skin integrity and can lead to fluid loss, infection, and shock. This client needs urgent treatment and should be tagged red (immediate) or yellow (delayed) depending on the extent of burns and airway status.
Correct Answer is A
Explanation
Rationale:
A. The client agreed to the procedure voluntarily: By witnessing the signature, the nurse verifies that the client is signing the consent form without coercion, fulfilling the legal requirement that consent is given voluntarily. This does not require the nurse to provide detailed explanations of the procedure.
B. The nurse explained the surgical procedure in detail: The responsibility for explaining the procedure, risks, and benefits lies with the surgeon or provider, not the nurse witnessing the consent. Witnessing only confirms voluntary agreement.
C. The nurse explained the risks and benefits of the surgery: Explaining risks and benefits is the provider’s legal obligation. The nurse’s role is to witness the client’s signature, not to provide detailed medical explanations.
D. The client knows they may no longer refuse the procedure: Clients always retain the right to refuse a procedure, even after signing consent. Witnessing does not override the client’s autonomy or ability to change their mind.
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