A nurse is caring for a client who has depressive disorder. The client states, "Everyone would be better off if I were not around." Which of the following responses should the nurse make?
"Why would you think a thing like that?"
"What would your family do without you?"
"Are you thinking of hurting yourself?"
"When you get better you will not feel this way."
The Correct Answer is C
A. "Why would you think a thing like that?": This is incorrect. Asking “why” could make the client feel defensive or that their feelings are being dismissed, which can hinder further conversation. It is important to approach suicidal statements with sensitivity and direct concern.
B. "What would your family do without you?": This is incorrect. While this may seem like a caring response, it places responsibility on the client to think about their family, which may not be helpful if they are feeling overwhelmed by their own emotions. The focus should be on the client’s safety and well-being.
C. "Are you thinking of hurting yourself?": This is correct. It is essential to directly assess the client's safety when they express suicidal thoughts. Asking this question shows concern for the client’s immediate safety and opens the door for further discussion on their feelings and potential plans.
D. "When you get better you will not feel this way.": This is incorrect. This response may dismiss the client’s current feelings and suggests that their emotions are temporary, which could undermine the seriousness of their statements. It is important to validate the client's feelings and address their safety directly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ankle is incorrect. The ankle is a hinge joint, which allows for movement in one plane (up and down), not the multidirectional movement characteristic of a ball and socket joint.
B. Shoulder is correct. The shoulder joint is a ball and socket joint. This type of joint allows for movement in multiple directions, including flexion, extension, abduction, adduction, rotation, and circumduction.
C. Knee is incorrect. The knee is a hinge joint, allowing for flexion and extension but not the wide range of motion that a ball and socket joint offers.
D. Metacarpophalangeal is incorrect. The metacarpophalangeal joints (knuckles) are condyloid joints, which allow for movement in two planes but not the full rotational movement of a ball and socket joint.
Correct Answer is D
Explanation
A. "Soak in a bathtub of hot water." – Soaking in hot water is not recommended during pregnancy, as it can cause overheating and affect blood flow, potentially leading to complications such as fainting or preterm labor.
B. "Obtain a prescription for pramipexole." – Pramipexole is a medication primarily used for Parkinson’s disease and restless legs syndrome, and it is not typically prescribed to address sleep disturbances during pregnancy.
C. "Use a transcutaneous electrical nerve stimulator (TENS)." – TENS is not generally recommended for treating sleep disturbances during pregnancy. It is more commonly used for pain management.
D. "Lie on your left side with your top leg forward." – Lying on the left side with the top leg forward is a recommended sleeping position during pregnancy, as it can improve blood circulation to the fetus and reduce pressure on the vena cava, which can help improve sleep and comfort
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.