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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. TIA stands for Transient Ischemic Attack, which is a temporary disruption of blood flow to the brain. Symptoms typically last for minutes to hours and resolve within 24 hours without causing permanent neurological damage.
B. CVA stands for Cerebrovascular Accident, which refers to a stroke. A CVA causes permanent neurological damage due to a lack of blood flow to the brain.
C. TPN stands for Total Parenteral Nutrition, which is a method of delivering nutrition intravenously to patients who cannot eat or absorb food normally. It is unrelated to cerebral circulation.
D. MI stands for Myocardial Infarction, which is a heart attack. It involves damage to the heart muscle due to a lack of blood flow but does not refer to cerebral circulation.
Correct Answer is B
Explanation
A. A blood pressure cuff is not directly needed to assess neurological status. While blood pressure is important to monitor in neurological assessments, it is not the primary tool used for assessing neurological function.
B. A pen light is essential for assessing pupil reaction, which is a key part of a neurological exam. The nurse can use the pen light to check for pupil dilation, constriction, and reaction to light, which are important indicators of brain function.
C. A thermometer is useful for measuring body temperature but is not a primary tool for assessing neurological status. Although fever can be a sign of infection affecting the brain, it is not part of the basic neurological exam.
D. A stethoscope is useful for listening to heart and lung sounds, but it is not typically used for assessing neurological function. The pen light is the more appropriate tool for this purpose.
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