A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

"Your mother will be fine, you shouldn't work so much."

“So, it seems that you feel responsible for what happened to your mother”

"Why do you blame yourself? You could not have prevented the stroke”

“You are not responsible for your mothers’ stroke but many people in your situation feel this way”

Answer and Explanation

The Correct Answer is B

Choice A Reason:

This response is dismissive and invalidates the son's feelings of guilt. It does not acknowledge or address his emotional distress. Providing false reassurance and shifting focus to work is not therapeutic.

Choice B Reason:

This response reflects therapeutic communication. It validates the son’s feelings by acknowledging his guilt and encourages him to express his emotions. Reflective listening allows the nurse to build trust and support the son in processing his emotions.

Choice C Reason:

Asking "Why" can feel accusatory or judgmental, making the son defensive. While the statement attempts to provide reassurance, it fails to address his emotional state and may shut down further communication.

Choice D Reason:

Although this response provides some reassurance and normalization, it minimizes the son's emotions by focusing on generalizations. It lacks the reflective quality necessary for therapeutic communication in this situation.

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Correct Answer is C

Explanation

Choice A Reason:

A patient who states "I have no one who cares about me. "This statement relates more to the need for belonging and love, which is a lower level on Maslow's hierarchy.

Choice B Reason:

A patient who states "I have never met my career goals." This statement relates to self-esteem and self-actualization needs, which are higher-level needs in Maslow's hierarchy.

Choice C Reason:

A patient who exhibits hostile and angry behaviors is correct. Maslow's hierarchy of needs places safety and security needs above other needs. The patient exhibiting hostile and angry behaviors may pose a threat to their own safety, the safety of others, or the overall therapeutic environment. Addressing safety concerns and de-escalating aggressive behaviors takes precedence in this situation.

Choice D Reason:

A patient upset that his family can only visit during visiting hours. This situation is related to social needs and may not be as immediate a concern as the hostile and angry behaviors described in option C.

A. Have too far from art and history museums to visit them as often as I would like B. Four robberies and three assault to occurred in my neighborhood in the past month C. Feel so alone. I wish had someone special in my life. D. Did not do a good job on the project may supersker assigned

Correct Answer is B

Explanation

Choice A Reason:

“I live too far from art and history museums to visit them as often as I would like. “This pertains more to self-actualization and leisure activities, which are higher-level needs.

Choice B Reason:

"Four robberies and three assaults occurred in my neighborhood in the past month. “This statement addresses safety concerns, which fall under the second level of Maslow's hierarchy. Ensuring safety is a fundamental need that takes priority before addressing social or esteem needs.

Choice C Reason:

"I feel so alone. I wish I had someone special in my life." This addresses the need for belonging and social connection, which is a higher-level need compared to safety.

Choice D Reason:

"I did not do a good job on the project my supervisor assigned." This relates to self-esteem and job performance, which are higher-level needs.

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A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

According to Maslow's hierarchy of needs, which situation on an inpatient mental health unit would require priority intervention?

Correct Answer is C

Explanation

Using Maslow's pyramid, which patient comment would the nurse respond to first?

Correct Answer is B

Explanation

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says. "I am really concerned about my husband. Which of the following is a therapeutic nursing response?

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Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Which statement describes the focus of psychiatric emergency care?

During a therapeutic nurse-patient relationship, when would the nurse plan to first address the issue of termination?

The nurse is educating a patient with depression about the mental health continuum. Which statement made by the patient indicates the need for additional teaching?