A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is distressed over his mother's crying and condition. Which of the following responses should the nurse make?

It must be hard to see your mother so ill and upset.

If you just sit quietly with your mother, I'm sure she will calm down.

I'll talk with your mother and see if I can comfort her.

"Your mother's crying seems to bother you more than it does her."

Answer and Explanation

The Correct Answer is A

A. It must be hard to see your mother so ill and upset is a compassionate and empathetic response that acknowledges the son's distress while validating his feelings. This approach fosters open communication and emotional support, which is important for both the patient and their family.

B. Telling the son to sit quietly with his mother may invalidate his feelings and suggests that the solution is simply to wait for the mother to calm down. It does not acknowledge his emotional distress or provide the necessary support.

C. While offering to comfort the mother is kind, this response does not address the son’s emotional needs. It is important to support the family members as well, not just the patient.

D. "Your mother's crying seems to bother you more than it does her" is dismissive of the son's feelings and could make him feel misunderstood or judged. It does not provide the necessary emotional support for the son.

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Correct Answer is A

Explanation

A. Attempt to determine what the client was looking for is the best response. In Alzheimer's disease, clients may exhibit wandering behavior and confusion, often seeking something familiar or trying to meet an unmet need. Understanding what the client was looking for can help address their needs and prevent further agitation.

B. Reprimanding the client for invading the other client's privacy is not appropriate. Clients with Alzheimer's disease may not be aware of the concept of privacy or the impact of their actions. Reprimanding can cause distress and confusion.

C. Explaining the client's Alzheimer's diagnosis to the frightened client may help provide understanding, but it does not address the immediate concern of calming the frightened client. The focus should be on managing the behavior in the moment.

D. Asking the client to apologize for his behavior is not appropriate, as the client may not have the cognitive ability to understand or remember the need to apologize. This could cause frustration and confusion.

A. Radiating pain down the leg B. Headache C. Difficulty breathing D. Blurred vision

Correct Answer is A

Explanation

A. A lumbar herniated disc commonly causes radiating pain down the leg, known as sciatica. This occurs when the herniated disc compresses a nerve root, often causing pain, numbness, tingling, or weakness that radiates down the leg.

B. Headache is not a typical symptom of a lumbar herniated disc. Headaches are generally associated with conditions affecting the head or neck, not the lower back.

C. Difficulty breathing is not associated with a lumbar herniated disc. Breathing problems are typically related to respiratory or cardiac conditions, not issues with the spine.

D. Blurred vision is not a symptom of a lumbar herniated disc. Vision changes are more often related to eye or neurological issues affecting the brain, not the lower back.

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A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is distressed over his mother's crying and condition. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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