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 C
Explanation
Choice A reason:
Electroconvulsive therapy (ECT) is not typically used to reduce the frequency of seizures. In fact, ECT induces controlled seizures as part of its therapeutic process. Therefore, a reduction in seizure frequency is not an indicator of ECT's effectiveness.
Choice B reason:
While ECT can be used to treat various psychiatric conditions, it is most commonly and effectively used for severe depression. It is not primarily indicated for reducing the frequency of panic attacks. Therefore, a reduction in panic attacks is not a primary measure of ECT's effectiveness.
Choice C reason:
Improvement in manifestations of depression is a key indicator of ECT's effectiveness. ECT is often used when other treatments for major depressive disorder have failed. Patients typically show significant improvement in mood, energy levels, and overall functioning after a series of ECT treatments.
Choice D reason:
Decreased fear of heights, or acrophobia, is not a condition typically treated with ECT. Phobias are usually addressed through therapies such as cognitive-behavioral therapy (CBT) rather than ECT. Therefore, a decrease in the fear of heights is not an indicator of ECT's effectiveness.
Correct Answer is D
Explanation
Choice A reason:
Discussing relaxation techniques with the caregiver is a beneficial action that can help manage stress. However, it may not be the most immediate need for a caregiver who is in the midst of an emotional crisis. Relaxation techniques are more preventive and are best introduced when the caregiver is receptive and not overwhelmed by acute distress.
Choice B reason:
Referring the caregiver to a local support group is an excellent long-term strategy for providing support and resources. Support groups can offer a sense of community and shared experience, which is invaluable. Nonetheless, this action does not address the caregiver's immediate emotional needs and should follow after providing immediate emotional support.
Choice C reason:
Consulting social services to explore counseling options is an important step in supporting the caregiver's mental health. Counseling can provide professional assistance and coping strategies for the caregiver's stress and emotional burden. However, this is a step that should be taken after addressing the caregiver's immediate emotional distress.
Choice D reason:
Offering to talk with the caregiver about their feelings is the most immediate and direct way to provide support. It addresses the caregiver's current emotional state and provides an outlet for their feelings. Active listening and empathetic communication can help alleviate the caregiver's distress and serve as a bridge to further support and resources.
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