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 the client "Why do you think this has happened?" may lead to self-blame or speculation that is not beneficial for coping. It does not provide insight into the client's current coping mechanisms or emotional state regarding their condition.
Choice B reason:
The question "Are you okay with not being able to do some things you used to do?" could be perceived as insensitive. It might imply that the client should be accepting of their loss of function, which can be a difficult and emotional process. This question does not directly assess the client's coping strategies.
Choice C reason:
Inquiring if someone is available to assist with hygiene addresses the client's support system but does not directly assess their coping ability. While support is important for coping, the question does not explore the client's emotional or psychological adaptation to their condition.
Choice D reason:
"How has this impacted your life?" is the most comprehensive question to assess coping. It invites the client to share their experiences and feelings about the changes they are facing. This open-ended question allows the nurse to gauge the client's emotional response, adaptation, and resilience since the stroke.
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 D
Explanation
Choice A reason:
Writing a detailed daily activity schedule is not typically indicative of acute mania. Individuals with acute mania often have difficulty focusing and may start many projects but struggle to follow through. A detailed schedule suggests organization, which is not characteristic of mania.
Choice B reason:
Refusing to engage in conversation is not a common sign of acute mania. On the contrary, individuals experiencing mania are more likely to exhibit pressured speech, which is fast, excessive, and difficult to interrupt.
Choice C reason:
Isolating oneself from others is not a typical behavior observed in acute mania. Individuals with mania are more likely to seek out social interactions, although these may be inappropriate or excessive.
Choice D reason:
A lack of sleep is a common symptom of acute mania. Individuals experiencing mania may feel a decreased need for sleep, stay up for long periods, and still not feel tired. This can exacerbate other manic symptoms and is a key indicator of mania.
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