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?

"It would be best to discuss your feelings with your provider."

"It must be very frustrating for you to be here."

"You are making progress in your treatment plan."

"You should call your partner to discuss this."

Answer and Explanation

The Correct Answer is B

A.   This response deflects the client's feelings and does not acknowledge the client's frustration.
B.   This response acknowledges the client's feelings of frustration and validates their experience, showing empathy and understanding.
C.   While it is important to encourage the client's progress, this response does not directly address the client's expressed emotions.
D.   Suggesting that the client call their partner may not address the underlying feelings of frustration and may overlook the opportunity for therapeutic communication.

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Correct Answer is D

Explanation

A. Changing a dressing on an implanted central venous access device involves a sterile procedure and assessment, requiring the skills and knowledge of a licensed nurse.
B. Removing an NG tube is a task beyond an AP’s scope and requires the specialized skills of a registered nurse.
C. Suctioning a tracheostomy requires specialised training and skill to perform safely and should not be delegated to assistive personnel.
D. Performing postmortem is within the scope of an assistive personnel. It does not require any specialized skills and knowledge of a registered nurse.

A. Discourage the client from allowing friends to see the newborn. B. Avoid talking to the client about the newborn. C. Assure the client that she can have additional children. D. Offer to take pictures of the newborn for the client.

Correct Answer is D

Explanation

A. Discouraging the client from allowing friends to see the newborn may deprive the client of potential sources of support and comfort during the grieving process.

B. Avoiding talking to the client about the newborn may inhibit the client's ability to process their emotions and may convey a lack of support from the nurse.
C. While it is important to provide reassurance, assuring the client that she can have additional children may minimize the client's current grief and invalidate her feelings of loss.
D. Offering to take pictures of the newborn allows the client to create lasting memories and keepsakes, which can be comforting and therapeutic during the grieving process.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Correct Answer is D

Explanation

A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process?

Correct Answer is D

Explanation

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