A nurse is caring for a client with ESRD who recently started dialysis. The client has expressed feelings of anger and frustration about the lifestyle changes required for treatment. Which nursing intervention is appropriate in this situation?

Discourage the client from expressing negative emotions to promote a positive environment in the dialysis unit.

Validate the client's feelings and allow them to express their emotions openly and without judgment.

Avoid discussing the client's feelings to prevent increasing their emotional distress.

Encourage the client to focus on the physical benefits of dialysis rather than their emotional experiences.

Answer and Explanation

The Correct Answer is B

A. This intervention is not appropriate. Discouraging the client from expressing negative emotions can invalidate their feelings and may lead to a lack of emotional support.

B. This intervention is the correct approach. Validating the client's feelings and providing a nonjudgmental environment can help the client feel heard and understood, fostering a therapeutic relationship.

C. This intervention is not helpful. Avoiding the client's feelings does not address their emotional needs and may make the client feel isolated.

D. This intervention is not appropriate. Encouraging the client to focus solely on the physical benefits of dialysis ignores the emotional impact of the treatment and does not address the client's feelings of anger and frustration.

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Correct Answer is C

Explanation

A. Instructing the client to avoid adhering strictly to the dialysis schedule can be detrimental to their health and may lead to complications associated with missed treatments.

B. Encouraging the client to skip dialysis sessions is not appropriate as it can worsen their condition and lead to serious health consequences.

C. This is the correct answer. Recognizing and reporting signs of infection or complications is crucial for clients on dialysis. Early detection and management of potential issues can help prevent further complications and ensure the client's well-being.

D. Advising the client to avoid monitoring their fluid and dietary intake can lead to fluid overload and worsen their ESRD condition.

A. "You should try to ignore these feelings and focus on your dialysis treatments." B. "It's normal to feel this way. Consider joining a support group to connect with others who are going through similar experiences." C. "You need to accept that these feelings are part of having ESRD and try to be more positive." D. "You should talk to your family less about your feelings to avoid burdening them."

Correct Answer is B

Explanation

A. This response is not appropriate. Telling the client to ignore their feelings can invalidate their emotions and may lead to further distress.

B. This response is the correct approach. Acknowledging the client's emotions as normal and suggesting joining a support group allows the client to connect with others who can empathize with their experiences and provide emotional support.

C. This response is not helpful. Encouraging the client to be more positive dismisses their genuine feelings and does not address their emotional needs.

D. This response is not supportive. Encouraging the client to talk less to their family about their feelings can lead to feelings of isolation and may hinder the client from seeking the support they need.

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A nurse is caring for a client with ESRD who recently started dialysis. The client has expressed feelings of anger and frustration about the lifestyle changes required for treatment. Which nursing intervention is appropriate in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge education to a client with ESRD who will require ongoing dialysis treatments. The client expresses concern about how they will manage their condition at home. What should the nurse include in the discharge teaching to promote effective self-care?

Correct Answer is C

Explanation

A client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

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