A nurse is caring for a client who reports bilateral knee pain after hiking this past weekend in the mountains on rough ground. He says he is concerned because his cousin died from bone cancer recently. Which of the following actions should the nurse take?
Ask the client why he thinks the pain isn’t a result of hiking.
Tell the client that it is unlikely that he has bone cancer.
Suggest genetic testing so the client can understand his risks.
Explain that the provider will see him and determine a course of action.
The Correct Answer is D
Choice A reason: Asking the client why he thinks the pain isn’t from hiking may come across as dismissive and could heighten his anxiety. It does not address his concerns constructively or facilitate a medical evaluation to determine the cause of the pain.
Choice B reason: Reassuring the client that bone cancer is unlikely without a medical evaluation is inappropriate, as it may minimize his concerns and delay necessary assessment. The nurse should avoid making diagnostic assumptions without provider input.
Choice C reason: Suggesting genetic testing is premature without a medical evaluation to determine if the pain warrants such testing. The client’s pain is likely related to hiking, and a provider’s assessment should guide any further diagnostic steps.
Choice D reason: Explaining that a provider will evaluate the client and determine the next steps is the most appropriate action. This response validates the client’s concerns, ensures a professional assessment of the knee pain, and provides a clear path forward without making assumptions about the cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A reason:A history of bulimia nervosa increases the risk of self-harm, as eating disorders are often associated with emotional dysregulation, low self-esteem, and impulsive behaviors, which can manifest as self-injurious actions.
Choice B reason:Receiving a promotion at work is generally a positive event and not typically associated with an increased risk of self-harm. It may boost self-esteem and is not a risk factor for self-injury.
Choice C reason:A parent with dependent personality disorder may influence family dynamics, but it is not a direct risk factor for the client’s self-harm behaviors. The client’s own mental health conditions are more relevant.
Choice D reason:Borderline personality disorder is strongly associated with self-harm behaviors, as it involves emotional instability, impulsivity, and difficulty managing intense emotions, often leading to self-injury as a coping mechanism.
Correct Answer is D
Explanation
Choice A reason: This statement reflects derealization, which is the experience that the external environment feels unreal or changed, not depersonalization.
Choice B reason: This describes auditory hallucinations, a common symptom of schizophrenia, but not depersonalization.
Choice C reason: This indicates persecutory delusions, not depersonalization.
Choice D reason: This confirms depersonalization, which involves altered perception of one’s own body or sense of self, such as believing body parts are distorted in size or shape.
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