A nurse is caring for a client with whom she has developed a therapeutic relationship.
The client, who will be discharged later in the day, thanks the nurse for her help during the hospitalization.
Which of the following responses should the nurse make?
“How do you feel about being discharged?”
“I will send you a note in a few weeks.”.
“I know you will do well living out in the community.”.
“Aren’t you excited about being discharged today?” . .
The Correct Answer is A
Choice A rationale
The nurse’s response of asking the client, “How do you feel about being discharged?” is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client’s readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client’s feelings, which are key components of a therapeutic relationship.
Choice B rationale
Telling the client, “I will send you a note in a few weeks,” is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client’s needs and not the personal feelings or needs of the nurse.
Choice C rationale
Saying, “I know you will do well living out in the community,” is an assumption and does not invite the client to share their feelings or concerns. It’s important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client’s individual needs.
Choice D rationale
Asking the client, “Aren’t you excited about being discharged today?” is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It’s important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Sickle cell anemia is not commonly found in Asian Americans. It is more prevalent in populations with ancestors from sub-Saharan Africa, Spanish-speaking regions, and the Mediterranean.
Choice B rationale
Sickle cell anemia is not commonly found in Native Americans. It is more prevalent in populations with ancestors from sub-Saharan Africa, Spanish-speaking regions, and the Mediterranean.
Choice C rationale
Sickle cell anemia is not commonly found in Italian Americans. While it can occur in Mediterranean populations, it is more prevalent in populations with ancestors from sub-Saharan Africa and Spanish-speaking regions.
Choice D rationale
Sickle cell anemia is commonly found in African Americans. It is an inherited blood disorder that is more common among people with ancestors from sub-Saharan Africa.
Correct Answer is A
Explanation
Choice A rationale
When a nurse is educating a patient about the side effects of a prescribed medication, they are playing the role of a teacher. In this role, the nurse provides information and guidance to help the patient understand their medication and manage its side effects.
Choice B rationale
The role of a change agent involves facilitating changes in behavior or perspectives, often in relation to lifestyle changes or health behaviors. While education can be a part of this role, it is not the primary focus when a nurse is educating a patient about medication side effects.
Choice C rationale
The role of a therapist involves providing therapeutic interventions, often in relation to mental health issues. While a nurse can play this role, it is not the primary role when educating a patient about medication side effects.
Choice D rationale
The role of a technician involves performing technical tasks and procedures. While a nurse can play this role, it is not the primary role when educating a patient about medication side effects.
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