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?
"Why do you think this has happened?"
"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?"
The Correct Answer is D
Choice A reason:
Asking "Why do you think this has happened?" may not be the most supportive approach. This question can lead to feelings of guilt or frustration, as the client might not have an answer and could feel blamed for their condition. It is more beneficial to focus on the client's current feelings and coping mechanisms.
Choice B reason:
Asking "Are you okay with not being able to do some things you used to do?" can be perceived as insensitive. It highlights the client's limitations rather than focusing on their strengths and coping strategies. This question might make the client feel more helpless and discouraged.
Choice C reason:
Asking "Is anyone available to assist you with your hygiene?" is important for assessing the client's support system and daily needs, but it does not directly address their emotional coping. While practical support is crucial, understanding the client's emotional and psychological state is equally important.
Choice D reason:
Asking "How has this impacted your life?" is an open-ended question that allows the client to express their feelings and experiences. It helps the nurse understand the client's perspective and coping mechanisms. This question encourages the client to share their emotional journey and can provide valuable insights into their mental and emotional well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Informing the client that they have the legal right to refuse treatment at any time is the correct action. Patients have the right to make decisions about their own healthcare, including the right to refuse treatment. This respects their autonomy and ensures that they are making informed decisions about their care.
Choice B reason:
Encouraging the client to have the procedure without addressing their concerns can be seen as coercive. It is important to understand the client's reasons for refusing the procedure and to provide information and support to help them make an informed decision.
Choice C reason:
Obtaining consent from the client's family member is not appropriate unless the client is unable to make decisions for themselves. If the client is competent, their decision should be respected, and family members should not be asked to override their wishes.
Choice D reason:
Requesting another nurse to review the procedure with the client might be helpful in providing additional information, but it should not be done with the intention of pressuring the client into agreeing to the procedure. The client's right to refuse should still be respected.
Correct Answer is C
Explanation
Choice A reason:
Asking the client's family to encourage the client to receive ECT may be a supportive measure, but it should not be the first action taken. The client's autonomy and right to refuse treatment must be respected, even if they are involuntarily committed. Family members can be involved in the discussion, but the client's decision should be paramount.
Choice B reason:
Telling the client they cannot refuse treatment because they were involuntarily committed is incorrect. Involuntary commitment does not automatically override a client's right to refuse treatment. Clients have the right to be informed about their treatment and to refuse it unless specific legal criteria are met.
Choice C reason:
Documenting the client's refusal of the treatment in the medical record is the correct action. It is essential to record the client's decision and the discussion surrounding it. This documentation ensures that the client's rights are respected and provides a legal record of the interaction.
Choice D reason:
Informing the client that ECT does not require client consent is incorrect and unethical. Consent is a fundamental patient right, and all clients, including those involuntarily committed, have the right to be informed about their treatment options and to give or withhold consent unless they are legally deemed incompetent to make such decisions.
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