A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
"Are you okay with not being able to do some things you used to do?"
"Is anyone available to assist you with your hygiene?"
"How has this impacted your life?"
"Why do you think this has happened?"
The Correct Answer is C
A. While this question may provide some insight into the client's feelings, it is more focused on acceptance and may not fully assess their coping mechanisms.
B This is a practical question addressing the client's needs but does not directly assess the client's coping ability.
C. Asking about the impact of the stroke on the client's life helps assess their emotional response and coping mechanisms. It provides the nurse with a broader understanding of how the client is adjusting to their condition.
D. This question may put the client on the defensive or lead to feelings of guilt or frustration, which may hinder their coping process. The focus should be on understanding the client's emotional response rather than exploring blame.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While recalling negative experiences may indicate unresolved grief, it is not as immediate a concern as more severe issues like nutritional intake or functional abilities.
B. Anger directed at the healthcare provider is a normal part of grief, but it should be addressed through therapy or counseling. This finding does not present an immediate danger to the client's well-being.
C. Guilt is a common feeling during bereavement. While it may need to be addressed, it is not as urgent as other physical or psychological concerns.
D. Inadequate food intake is a priority concern, as it can lead to malnutrition and other health issues. The nurse should focus on helping the client address his nutritional needs and refer for further support if necessary.
Correct Answer is C
Explanation
A. Denial is a defense mechanism where a person refuses to accept reality or facts. The client is not denying the situation but is demonstrating anger outwardly.
B. Compensation involves overachieving in one area to make up for deficiencies in another, which is not being exhibited here.
C. Displacement occurs when a person redirects their emotions from the original source of anger to a less threatening object or person. In this case, the client is displacing his anger onto the nurse rather than addressing the issue with his partner.
D. Rationalization is the process of creating logical excuses for illogical behavior, but the client is not providing excuses for his behavior in this instance.
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