A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

"Have you been thinking about harming yourself?"

"Why do you feel like things will never work out?"

“You should try to focus on yourself for a change."

“Maybe an antidepressant will make you feel better."

Answer and Explanation

The Correct Answer is A

A.   This response directly addresses the potential for self-harm, which is a critical concern when a client expresses hopelessness. It is an open-ended question that invites the client to discuss their feelings and provides the nurse with information to assess the client's safety.
B.   Asking the client a why question may not be alright and this may make them to be guarded.
C.   This response may come off as dismissive and lacks empathy towards the client's feelings.
D.   Suggesting medication without further assessment is premature and may not address the root cause of the client's statement.

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Correct Answer is A

Explanation

A. Offering to talk with the caregiver about their feelings provides immediate support and validation of their emotions. It allows the caregiver to express their concerns and stressors, which can help alleviate some of the caregiver's distress.
B. Referring the caregiver to a local support group is a helpful intervention but may not address the caregiver's immediate emotional needs. Offering immediate support by listening and empathizing is the first step.

C. Discussing relaxation techniques with the caregiver may be beneficial, but addressing the caregiver's emotional distress should take precedence.
D. Consulting social services to explore counseling for the caregiver is a valuable intervention, but offering immediate support by engaging in a conversation about their feelings is the most appropriate initial action.

A. Clients cannot refuse take prescribed medications. B. Clients continue to have the right to privacy and confidentiality. C. Clients have the right to the least restrictive environment. D. Clients maintain the right to an attorney. E. Clients cannot withdraw consent after signing an informed consent form.

Correct Answer is ["B","C","D"]

Explanation

A. Clients have the right to refuse medication, as part of their autonomy and informed consent rights.
B. Clients retain their right to privacy and confidentiality, which are fundamental rights in healthcare and protected under various laws and regulations.
C. Clients have the right to the least restrictive environment necessary for their treatment, which supports their freedom and dignity.
D. Clients maintain the right to an attorney, ensuring their access to legal representation and support.
E. Clients can withdraw consent at any time, even after signing an informed consent form, as part of their ongoing right to informed consent and autonomy.

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A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

Nursing Test Bank

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