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?"

Answer and Explanation

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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Correct Answer is C

Explanation

A. Group activities may be beneficial later, but initially, the focus should be on more individual forms of support for clients with major depressive disorder.
B. Keeping a bright light on at night could disrupt the client's sleep and worsen their symptoms. Light therapy should be used during the day for the treatment of depression.
C. Encouraging physical activity is important for clients with major depressive disorder, as exercise can improve mood by increasing serotonin and endorphin levels, which can help reduce depressive symptoms.
D. It is important for clients with depression to express their feelings, including anger, in a therapeutic environment. Suppressing emotions can hinder the healing process.

A. Discuss the provider's goals for the client's care. B. Request the provider prescribe a second antipsychotic medication to the client. C. Ask the client if the medication is causing adverse effects. D. Tell the client they will be admitted to an inpatient care facility if they do not take the medication.

Correct Answer is C

Explanation

A. Discussing the provider's goals might not address the client’s reasons for non-adherence and could be seen as dismissive.
B. Prescribing another medication without addressing the reasons for non-adherence may not solve the underlying problem.
C. Asking about adverse effects shows empathy and provides an opportunity to address concerns and encourage adherence.
D. Threatening hospitalization is not therapeutic and may make the client more resistant to taking the medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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