A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse, "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?
"You are making progress in your treatment plan."
"You should call your partner to discuss this."
"It must be very frustrating for you to be here."
"It would be best to discuss your feelings with your provider."
The Correct Answer is C
A. "You are making progress in your treatment plan." While this response provides positive reinforcement, it doesn't address the client's feelings of frustration or desire to go home, potentially invalidating their emotions.
B. "You should call your partner to discuss this." Suggesting that the client call their partner shifts the focus away from their feelings and may not provide the immediate emotional support they need.
C. "It must be very frustrating for you to be here." This response acknowledges the client's feelings and validates their frustration. It opens the door for further discussion about their emotions, helping the client feel heard and understood.
D. "It would be best to discuss your feelings with your provider." This response may dismiss the client's current feelings by directing them away from the nurse, who is present and capable of providing support. It is important to validate the client's feelings first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Determine the need for additional providers: While nurses can assess patient needs, determining the need for additional providers is typically a responsibility of management or command staff in a disaster situation.
B. Act as a spokesperson to provide information to the media: This role is generally assigned to a designated communications officer or public relations personnel, not a unit nurse, as media interactions require specific training and authorization.
C. Decide which clients should be transported for a higher level of care: This decision usually involves a multidisciplinary team and is not solely the responsibility of a unit nurse. It often requires input from physicians and administrative personnel.
D. Recommend to the provider a list of clients for early discharge: This is a responsibility that falls within the scope of a unit nurse's duties during a disaster. Nurses can assess their patients' conditions and recommend which patients may be stable enough for early discharge to make room for more critical cases.
Correct Answer is A
Explanation
A) Have the child take a tub bath each morning:Warm tub baths can help alleviate morning stiffness and improve joint mobility in children with juvenile idiopathic arthritis. This intervention can be soothing and help the child start the day with less discomfort, promoting better overall function and quality of life.
B) Encourage the child to take naps during the day:While rest is important, excessive napping can lead to decreased physical activity, which may worsen joint stiffness and reduce muscle strength. It is more beneficial to encourage regular, gentle exercise and activity throughout the day.
C) Apply splints to the child’s extremities during the day:Splints are typically used at night to prevent joint deformities and maintain proper alignment. During the day, it is important for the child to remain active and use their joints to maintain mobility and strength.
D) Keep the child on bedrest as long as pain persists:Prolonged bedrest can lead to muscle atrophy and joint stiffness, which can worsen the child’s condition. Encouraging gentle movement and activity, even when experiencing pain, is crucial for managing juvenile idiopathic arthritis effectively.
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