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?"

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:
Long hallways can be challenging for clients with dementia due to potential confusion and disorientation. However, they do not pose a direct physical risk. Long distances might require more supervision and assistance, but they are not inherently dangerous.

Choice B reason:
Having the bed in a low position is generally a safety measure to prevent falls. For clients with dementia, this can be beneficial as it reduces the risk of injury if they attempt to get out of bed unassisted. Therefore, this is not considered a risk factor.

Choice C reason:
An area rug in the room can be a significant tripping hazard for clients with dementia. Dementia can affect a person's gait and balance, making them more prone to falls. Loose or uneven rugs can easily cause trips and falls, leading to potential injuries. This is why the presence of an area rug is identified as a risk.

Choice D reason:
Having locks on outside doors is a safety measure to prevent clients with dementia from wandering off and getting lost. Wandering is a common behavior in dementia patients, and locks can help ensure their safety by keeping them within a secure environment. This is not considered a risk but rather a protective measure.

A. "Therapy is often scheduled during my daily meditation time." B. "My spiritual advisor has increased visits since I became ill." C. "I gain comfort from meditation." D. "My faith gives me hope during difficult times."

Correct Answer is A

Explanation

Choice A reason:
This statement indicates spiritual distress because it reflects a disruption in the client's spiritual practice due to the scheduling of therapy sessions. Meditation is often a crucial part of an individual's spiritual routine, providing a sense of peace, connection, and well-being. When such practices are interrupted, especially by factors outside one's control, it can lead to feelings of spiritual disconnection and distress.

Choice B reason:
While increased visits from a spiritual advisor could suggest a need for more support, it does not necessarily indicate spiritual distress. It could mean that the client is seeking additional guidance and comfort during illness, which is a common and proactive approach to maintaining spiritual health.

Choice C reason:
Gaining comfort from meditation is a positive statement reflecting that the client is able to find solace and spiritual support through their practice. This does not indicate spiritual distress; rather, it shows effective use of spiritual resources to cope with challenges.

Choice D reason:
Expressing that faith provides hope during difficult times is a sign of spiritual strength and resilience. This statement suggests that the client's spiritual beliefs are a source of support and do not reflect spiritual distress.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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