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?

"How has this impacted your life?"

"Are you okay with not being able to do some things you used to do?"

"Is anyone available to assist you with your hygiene?"

“Why do you think this has happened?"

Answer and Explanation

The Correct Answer is A

A.   This question assesses the client's perception of the impact of the stroke on their life, providing insight into their coping abilities and emotional response.

B.   This question addresses acceptance but may not fully assess the client's coping strategies or emotional response to the stroke.
C.   This question addresses practical assistance with hygiene tasks but does not directly assess coping mechanisms.
D.   This question focuses on the cause of the stroke rather than the client's coping abilities or emotional response.

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Correct Answer is D

Explanation

A. Asking a family member to check the locks for the client may alleviate immediate anxiety but does not address the underlying obsessive-compulsive behavior or provide coping mechanisms for the client to manage their symptoms independently.
B. Keeping a journal of checking behaviors may be part of exposure and response prevention therapy but does not directly address the intrusive thoughts associated with obsessive- compulsive disorder in the moment.
C. Focusing on abdominal breathing is a relaxation technique that may help reduce overall anxiety but does not specifically target the intrusive thoughts associated with obsessive- compulsive disorder.
D. Using a rubber band to snap on the wrist when the client thinks about checking the locks is a form of aversion therapy, which is a component of thought stopping technique. This technique helps interrupt and redirect the obsessive thoughts, promoting awareness and control over compulsive behaviors.

A. Speaks in rhyming sentences B. Makes inappropriate sexual comments C. States that he hasn't bathed in 2 days D. Reports eating twice in the past week

Correct Answer is D

Explanation

A. Speaking in rhyming sentences can be a manifestation of mania but may not necessarily require immediate reporting unless it escalates to disruptive or harmful behavior.
B. Making inappropriate sexual comments can indicate impulsivity and lack of social boundaries. It does not however precede managing the risk of hypoglycemia.
C. Poor hygiene, such as not bathing, is common in mania due to increased energy and decreased need for sleep, but it may not require immediate reporting unless it poses a significant risk to the client's health.
D. Decreased appetite and irregular eating patterns are common during mania due to increased activity levels. Eating twice in teh past is not sufficient to meet energy requirements and the client might be at risk of hypoglycemia.

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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

A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

Correct Answer is D

Explanation

A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

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