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?"
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Asking the family to encourage the client to receive treatment is not appropriate, as the client’s rights
to make decisions about their care must be respected.
B. ECT typically requires informed consent unless the client is deemed legally incompetent, and it is not appropriate to bypass this requirement.
C. The nurse must document the client's refusal to receive the treatment to ensure that the decision is clearly recorded, and the provider can be alerted to discuss the refusal further.
D. While an involuntarily committed client may have restrictions on some rights, they still have the right to refuse treatment unless they are deemed legally incompetent. The nurse should document and communicate the refusal to the provider for further assessment.
Correct Answer is D
Explanation
A. Although extending the client's stay may allow for further treatment, it is not the most immediate or necessary action in this situation. The priority is ensuring safety, which requires reporting the threat to appropriate authorities.
B. Confidentiality is essential in healthcare, but it does not override the obligation to report threats of harm to others. The nurse must prioritize the safety of the potential victim, which requires breaching confidentiality to report the threat.
C. While risk management may be involved later, the nurse’s first responsibility is to report the
imminent threat of harm to the appropriate authorities to prevent harm to the partner.
D. The nurse has a legal and ethical obligation to report any threats of harm to others. By notifying local authorities, the nurse helps prevent potential harm to the partner, ensuring their safety.
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