A nurse is caring for a client who is dying. The client says, “My mother died in the hospital, but I did not get there before she died.” Which of the following statements should the nurse make?

I will tell your family of your concern so that they can be here.

We will call your family in time for them to get here.

I will make sure a staff member is in your room at all times.

I wonder if you are fearful of dying alone.

Answer and Explanation

The Correct Answer is D

Choice A reason: Informing the family without addressing the client’s emotional concern misses the opportunity to explore their feelings. This response does not directly respond to the client’s expressed fear about their mother’s death.

Choice B reason: Promising to call the family in time assumes the client’s primary concern is family presence, which may not address the underlying fear of dying alone. It also risks making a promise that may not be feasible.

Choice C reason: Ensuring a staff member’s constant presence is supportive but does not directly address the client’s stated concern about their mother’s death or explore their emotional needs, making it less therapeutic.

Choice D reason: Acknowledging the client’s potential fear of dying alone directly addresses the emotional content of their statement. This therapeutic response encourages the client to express their fears, fostering emotional support and understanding.

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Correct Answer is D

Explanation

Choice A reason: Mysophobia is the fear of germs or contamination, which does not match the client’s fear of leaving home.

Choice B reason: Xenophobia is an intense dislike or fear of strangers or foreigners, unrelated to avoiding outdoor spaces.

Choice C reason: Acrophobia is the fear of heights, not the fear of leaving one’s home.

Choice D reason: Agoraphobia involves anxiety about being in places where escape might be difficult, often resulting in refusal to leave the home without assistance, which fits this scenario.

A. The client responds to questions with disorganized speech. B. The client’s spouse reports that the client has recently gained weight. C. The client reports that voices are telling him to write a novel. D. The client is dressed in all black.

Correct Answer is A

Explanation

Choice A reason: Disorganized, rapid, or pressured speech is a hallmark symptom of acute mania and reflects flight of ideas.

Choice B reason: Recent weight gain may relate to medication side effects or other conditions, not mania specifically.

Choice C reason: Hearing voices is a hallucination, which suggests psychosis or schizophrenia, not acute mania.

Choice D reason: Wearing all black may indicate a personal preference, not a diagnostic feature of mania.

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A nurse is caring for a client who is dying. The client says, “My mother died in the hospital, but I did not get there before she died.” Which of the following statements should the nurse make?

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