A nurse is caring for a client who is about to undergo open-heart surgery. The client states that he is very nervous about the surgery. Which of the following responses should the nurse make?

Give the client some reading material about their upcoming surgery to help ease their mind.

Suggest that the client take a walk around the unit.

Refer the client to the pastoral care team.

Speak with the client and ask him to describe what they are feeling.

Answer and Explanation

The Correct Answer is D

Choice A reason:
Providing reading material about the surgery can be informative, but it may not be the best approach for someone who is already very nervous. It could potentially increase anxiety if the information is overwhelming or if the client misinterprets the material.

Choice B reason:
Suggesting a walk could serve as a distraction and help to calm the client's nerves. However, it might not address the underlying anxiety about the surgery itself. It's a temporary measure that doesn't offer emotional support or address the client's immediate concerns.

Choice C reason:
Referring the client to the pastoral care team could be beneficial if the client is seeking spiritual support or comfort. However, this should be based on the client's personal preferences and beliefs, and it may not be the most direct way to address the client's stated nervousness.

Choice D reason:
Engaging the client in a conversation about their feelings provides an opportunity for emotional support and can help the nurse understand the client's specific fears. This approach can lead to a more personalized care plan to alleviate anxiety.

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Correct Answer is B

Explanation

Choice A reason:

Negative Operant Conditioning involves the removal of an unpleasant stimulus to increase the likelihood of a behavior being repeated. In this scenario, the nurse is not removing an unpleasant stimulus but is instead taking over a task to prevent conflict, which does not align with the principles of negative operant conditioning.

Choice B reason:

Positive Role Modeling is demonstrated when an individual exhibits behavior that is beneficial and can be emulated by others. By taking the tray to avoid conflict, the nurse is showing understanding and flexibility, qualities that are positive and can be modeled in a healthcare setting.

Choice C reason:

Aggressiveness is characterized by hostile or forceful behavior or attitudes. The nurse's action of taking the tray to the kitchen is not aggressive; it is a non-confrontational approach to managing the situation.

Choice D reason:

Assertiveness involves standing up for one's own rights in a direct, honest way, while also respecting the rights of others. The nurse's behavior is not assertive, as they are not addressing the client's refusal directly but are instead choosing to complete the task themselves to avoid confrontation.

A. Adventitious B. Maturational C. Developmental D. Situational

Correct Answer is D

Explanation

Choice A Reason:
An adventitious crisis is not applicable here. This type of crisis is usually a result of a natural or man-made disaster, war, or major accident, which is not the case with the client's situation.

Choice B Reason:
Maturational crises are associated with life transitions or developmental stages, such as retirement or menopause. While the client is older, the crisis is not due to a normal life transition but rather an unexpected event.

Choice C Reason:
Developmental crises occur as a person moves through the stages of life. The client's crisis does not stem from a developmental issue but from an external event that has disrupted their life.

Choice D Reason:
Situational crises arise from external sources that an individual may face throughout life, such as the death of a loved one, loss of a job, or severe illness. The client's inability to cope with the sudden death of their spouse is a situational crisis.

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A nurse is caring for a client who is about to undergo open-heart surgery. The client states that he is very nervous about the surgery. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for an older adult client following the sudden death of their spouse. The client feels stuck in their ability to deal with work and family responsibilities. The nurse should recognize that the client is experiencing which type of crisis?

Correct Answer is D

Explanation

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A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

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A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. The findings include blood pressure changes, fever, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

A nurse on a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

A nurse is caring for a client who is about to undergo open-heart surgery. The client states that he is very nervous about the surgery. Which of the following responses should the nurse make?