A nurse is caring for a 9-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
"You sound overprotective. Let's talk about this some more."
"Tell me more about how you are feeling about your son's activities."
"You might want to use tutors to home-school him."
"I agree. His well-being is your primary concern."
The Correct Answer is B
A. Labeling the mother as "overprotective" is dismissive and non-therapeutic.
B. This response uses therapeutic communication to explore the mother’s concerns without judgment, allowing for education and support.
C. Suggesting home-schooling may reinforce unnecessary restrictions and does not address the concern.
D. Agreeing outright does not help the mother understand that physical activity can be managed safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tachycardia does not occur with autonomic dysreflexia.
B. Autonomic dysreflexia is a life-threatening condition caused by a noxious stimulus (e.g., full bladder, constipation) in patients with spinal cord injuries above T6. It leads to severe hypertension and reflex bradycardia.
C. Hypotension is not a symptom; autonomic dysreflexia causes hypertension.
D. Tachycardia and hypotension are more associated with spinal shock rather than autonomic dysreflexia.
Correct Answer is A
Explanation
A. Correct. The GCS assesses level of consciousness based on eye-opening, verbal response, and motor response.
B. Incorrect. Reflex activity is assessed separately using neurological reflex tests.
C. Incorrect. Sensory involvement is evaluated through different neurological exams, not the GCS.
D. Incorrect. Cognitive ability assessment requires specialized tests, such as the Mini-Mental State Examination (MMSE).
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