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 A

Explanation

A. Encouraging physical activity during the day has been shown to improve mood and reduce symptoms of depression by increasing endorphin levels and promoting a sense of well-being.

B. Identifying and scheduling alternative group activities for the client may be helpful in reducing social isolation and improving mood but should not replace physical activity.
C. Discouraging the client from expressing feelings of anger is not appropriate, as it may suppress emotions and hinder therapeutic communication. Instead, the nurse should encourage the client to express and explore their emotions in a healthy manner.

D. Keeping a bright light on in the client's room at night may disrupt sleep patterns and exacerbate symptoms of depression, as individuals with depression often have disturbances in their sleep-wake cycle.

A. "I will use the coping mechanisms that helped me in the past." B. "I will rely on my partner to plan out my schedule each day." C. "I will stay in bed on days when I feel exhausted." D. "I will avoid talking about events that upset me."

Correct Answer is A

Explanation

A. This choice demonstrates an understanding of the importance of utilizing effective coping mechanisms.

B. Depending solely on a partner to plan daily activities may indicate dependence rather than self-care.
C. Remaining in bed excessively can perpetuate depressive symptoms and hinder recovery.
D. Avoiding discussing upsetting events may prevent processing emotions and hinder progress in therapy.

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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

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