A nurse is caring for a client who reports difficulty coping with several recent stressors. Which of the following responses should the nurse make?

"Why are you having difficulty coping?"

"You should find a therapist who can help you."

"Everything will be okay if you give it some time."

"Tell me about your support system.

Answer and Explanation

The Correct Answer is D

A. "Why are you having difficulty coping?": This question may sound accusatory and could make the client feel defensive. It is more effective to explore their feelings and concerns in a non-judgmental way.

B. "You should find a therapist who can help you.": While therapy can be helpful, this statement is directive and does not invite the client to express their feelings. It also may come across as dismissive of the client's current struggles.

C. "Everything will be okay if you give it some time.": This statement minimizes the client's feelings and may invalidate their experience. It's important to acknowledge their emotions and work with them to explore coping strategies rather than offering empty reassurances.

D. "Tell me about your support system.": This is the most appropriate response, it encourages the client to reflect on the resources and people they can rely on and provides an opportunity for the nurse to assess the client's support network and coping mechanisms.

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Correct Answer is A

Explanation

A. "The night shift nurse is terrible.": This is an example of displacement, where the client redirects feelings of anger or frustration from a more significant issue, such as personal conflict or stress, onto an unrelated person like the night shift nurse.
B. "If I do what I am supposed to do, it will go away.": This statement reflects an attempt at problem-solving or avoidance rather than displacement. The client is trying to manage the situation directly by taking action, rather than transferring emotions.
C. "I am so angry with my spouse.": This is a direct acknowledgment of the source of the distress (the spouse) and does not involve displacement. The client is openly expressing anger rather than redirecting it onto someone or something unrelated.
D. "I don't know why I am here in the first place.": This reflects denial, where the client avoids recognizing the true reasons for being in treatment. The client is avoiding confronting their feelings or the situation but isn’t displaying displacement.

A. Occupational therapy B. Palliative care C. Respite care D. Hospice care

Correct Answer is C

Explanation

A. Occupational therapy: Occupational therapy focuses on helping clients improve their ability to perform daily activities. While beneficial for individuals with Alzheimer's, it does not specifically address the partner’s need for temporary relief from caregiving duties.
B. Palliative care: Palliative care focuses on providing relief from symptoms and improving the quality of life for clients with serious illnesses. While appropriate for end-of-life care, it may not address the partner’s immediate need for respite from caregiving.
C. Respite care: Respite care provides temporary relief for caregivers by allowing them to take a break while ensuring their loved one continues to receive appropriate care. This is the most appropriate referral for the partner, who is seeking time for themselves.
D. Hospice care: Hospice care is focused on end-of-life care, offering comfort and support for clients with terminal illnesses. It is not the best option in this case, as the client is not necessarily at the end of life but has Alzheimer's disease, which is a progressive condition.

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A nurse is caring for a client who reports difficulty coping with several recent stressors. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a personality disorder. Which of the following statements made by the client indicate they are coping with the maladaptive defense mechanism of displacement?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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