A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

“I am trying to help you, but you haven't told me why you are overwhelmed yet."

"Have you tried to avoid the situations that are causing you so much stress?"

“Tell me about what you are doing to reduce or cope with your stress."

“I would like to help you. Can you tell me more about what you are feeling?"

Answer and Explanation

The Correct Answer is D

A. "I am trying to help you, but you haven't told me why you are overwhelmed yet." This response sounds dismissive and places responsibility on the client, which may increase their frustration.

B. "Have you tried to avoid the situations that are causing you so much stress?" Avoidance is not a healthy coping mechanism and does not encourage the client to express their feelings.

C. "Tell me about what you are doing to reduce or cope with your stress." While this encourages self-reflection, it does not validate the client’s distress or express empathy.

D. "I would like to help you. Can you tell me more about what you are feeling?" This response shows empathy, offers support, and invites the client to express their emotions, which are key aspects of therapeutic communication.

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Correct Answer is B

Explanation

A. The right to refuse care: Autonomy includes the right to refuse care, but it encompasses more than just refusal—it includes active decision-making.

B. The right to self-determination and making decisions about their own healthcare: Autonomy means that clients have the right to make informed decisions about their own care, including choosing, refusing, or modifying treatments.

C. The right to receive care without any input or involvement in decision-making: This contradicts autonomy, as autonomous clients must be actively involved in their healthcare choices.

D. The right to make decisions on behalf of the healthcare provider: Clients do not make decisions for healthcare providers, but rather for themselves.

A. "It can increase their risk for falls." B. “It increases their risk of experiencing a stroke." C. "It can increase their blood pressure." D. "It can increase their risk for infection."

Correct Answer is A

Explanation

A. "It can increase their risk for falls." Sedating medications, such as benzodiazepines and antipsychotics, increase fall risk due to drowsiness and impaired coordination.

B. "It increases their risk of experiencing a stroke." While some antipsychotics increase stroke risk, this is not the most relevant concern for sedating medications in dementia patients.

C. "It can increase their blood pressure." Most sedatives lower blood pressure rather than increase it.

D. "It can increase their risk for infection." Sedating medications do not directly increase infection risk.

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A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the definition of patient autonomy?

Correct Answer is B

Explanation

A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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