A nurse is caring for a client who has a depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?
"Everyone feels depressed during the grieving process."
"Tell me what your relationship with your partner was like."
"I remember how depressed I was after my friend died."
"You should start participating in your usual activities."
The Correct Answer is B
Choice A Reason:
"Everyone feels depressed during the grieving process."
This response, while intended to normalize the client's feelings, can come across as dismissive. It implies that the client's feelings are typical and may not validate the unique and personal nature of their grief. It is important for the nurse to acknowledge the client's specific experience and provide a space for them to express their emotions without feeling minimized.
Choice B Reason:
"Tell me what your relationship with your partner was like."
This response is the most therapeutic and supportive. It invites the client to share their feelings and memories, which can be an important part of the grieving process. By asking about the client's relationship with their partner, the nurse shows empathy and provides an opportunity for the client to process their loss. This approach aligns with patient-centered care, which focuses on understanding and addressing the individual needs and experiences of the client.
Choice C Reason:
"I remember how depressed I was after my friend died."
While this response attempts to show empathy through shared experience, it shifts the focus away from the client and onto the nurse. The client's needs should remain the primary focus of the conversation. Sharing personal experiences can sometimes be helpful, but it should be done carefully and only if it directly benefits the client's therapeutic process.
Choice D Reason:
"You should start participating in your usual activities."
Encouraging the client to resume normal activities can be part of the recovery process, but this response may be premature and insensitive if the client is not ready. It is important to first validate the client's feelings and understand their current emotional state before suggesting actions. Grieving is a highly individual process, and pushing the client to move on too quickly can be counterproductive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A: Hypomagnesemia
Hypomagnesemia, or low magnesium levels, is a common finding in clients with bulimia nervosa. This condition often results from frequent vomiting and the use of laxatives or diuretics, which can lead to significant electrolyte imbalances. Magnesium is crucial for many bodily functions, including muscle and nerve function, and its deficiency can cause symptoms such as muscle cramps, weakness, and irregular heartbeats.
Choice B: Muscle wasting
Muscle wasting is another expected finding in clients with bulimia nervosa. The cycle of bingeing and purging can lead to severe nutritional deficiencies, including protein deficiency, which is essential for muscle maintenance. Over time, the body starts breaking down muscle tissue to meet its energy needs, leading to muscle wasting. This can result in weakness, fatigue, and a decrease in physical strength.
Choice C: Lanugo
Lanugo, a fine, soft hair that covers the body, is more commonly associated with anorexia nervosa rather than bulimia nervosa. Lanugo develops as the body's response to extreme weight loss and low body fat, attempting to insulate and maintain body heat. While clients with bulimia may experience significant weight fluctuations, lanugo is not a typical finding in this condition.
Choice D: Hypokalemia
Hypokalemia, or low potassium levels, is a frequent finding in clients with bulimia nervosa. This condition is often caused by repeated vomiting, which leads to the loss of potassium from the body. Potassium is vital for proper muscle function, including the heart muscle, and its deficiency can cause symptoms such as muscle weakness, cramps, and potentially life-threatening cardiac arrhythmias.
Correct Answer is B
Explanation
Choice A reason:
Discussing the benefits of ECT with the client is primarily the responsibility of the physician. The physician should provide a comprehensive explanation of the procedure, including its benefits, risks, and potential side effects. The nurse can support this process by reinforcing the information provided by the physician and addressing any additional questions or concerns the client may have. However, the primary role of discussing the benefits lies with the physician.
Choice B reason:
Witnessing the client signing the form is a key responsibility of the nurse during the informed consent process. The nurse's role is to ensure that the client has received all necessary information from the physician and understands it. The nurse then witnesses the client signing the consent form, confirming that the client is voluntarily agreeing to the procedure. This step is crucial to ensure that the consent is legally valid and ethically sound.
Choice C reason:
Determining if the client is competent to give consent is typically the responsibility of the physician or a qualified mental health professional. Competency involves assessing the client's ability to understand the information provided, appreciate the consequences of their decision, and make an informed choice. While the nurse can observe and report any concerns about the client's understanding or decision-making capacity, the formal assessment of competency is not within the nurse's scope of practice.
Choice D reason:
Discussing alternative treatment options with the client is also primarily the responsibility of the physician. The physician should present all viable treatment options, including their benefits and risks, to help the client make an informed decision. The nurse can support this process by providing additional information and clarification as needed, but the primary responsibility for discussing alternatives lies with the physician.
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