A nurse is interacting with a client who is a victim of intimate partner violence (IPV). The client reports feeling unable to leave the relationship because of the children. The nurse responds by saying, "I know this must be very difficult for you." Which type of therapeutic communication is the nurse providing?

Open-ended question.

Clarification.

Empathizing.

Paraphrasing.

Answer and Explanation

The Correct Answer is C

A. Open-ended question. This response is not an open-ended question. Open-ended questions typically invite the client to share more information or elaborate on their thoughts and feelings. Instead, the nurse's response acknowledges the client's feelings and demonstrates empathy without directly soliciting more information.

B. Clarification. This response is not clarification. Clarification involves seeking clarification or additional information to ensure understanding. The nurse's response does not seek clarification but rather acknowledges the client's emotions.

C. Empathizing. This response is empathizing. Empathizing involves recognizing and understanding the client's emotions and expressing empathy. The nurse's response acknowledges the client's difficult situation and validates their feelings of distress, demonstrating empathy and understanding.

D. Paraphrasing. This response is not paraphrasing. Paraphrasing involves restating the client's message in the nurse's own words to confirm understanding. The nurse's response does not restate the client's message but rather expresses empathy and validation of the client's emotions.

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Correct Answer is D

Explanation

A. Notify the healthcare provider. While notifying the healthcare provider is important if the issue persists, the nurse should first attempt to confirm the absence of pulses using other methods to ensure it is not a technical error or due to poor technique.

B. Apply warm blankets to both feet. Warming the feet might help if the pulses are weak due to vasoconstriction from cold, but this is not the most immediate or effective action to determine the presence of pulses.

C. Palpate pulse points with legs dependent. Having the legs in a dependent position might increase blood flow to the lower extremities, potentially making pulses easier to palpate. However, this is not as reliable as using more advanced technology.

D. Use a doppler ultrasonic stethoscope. Using a Doppler device is the best next step if pulses are not palpable. Dopplers can detect blood flow that is not palpable, providing more accurate assessment of circulation in the extremities before notifying the healthcare provider.

A. Distal interphalangeal joint nodules that deviate. B. Proximal intertarsal joint swelling of big toe. C. Frozen, non-movable phalangeal joints. D. Non-painful enlarged interphalangeal joints.

Correct Answer is D

Explanation

A. Distal interphalangeal joint nodules that deviate: While Heberden's nodes can cause some stiffness or limited movement, "deviate" implies a significant bend or dislocation, which is not a typical characteristic of Heberden's nodes.

B. Proximal intertarsal joint swelling of big toe: This describes a swollen joint at the base of the big toe (likely gout) and is not related to Heberden's nodes, which affect the fingers.

C. Frozen, non-movable phalangeal joints: Heberden's nodes do not cause joints to become frozen or immobile. This description more accurately fits conditions like severe arthritis or advanced stages of rheumatoid arthritis where joint mobility can be significantly impaired

D. Non-painful enlarged distal interphalangeal (DIP) joints: This accurately describes Heberden's nodes, which are bony growths that typically occur on the DIP joints (closest to the fingertip) and are often painless in the early stages

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Naxlex Comprehensive Predictor Exams

While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses. Which action should the nurse take?

Correct Answer is D

Explanation

During a health assessment, the client reports being treated for osteoarthritis. The nurse examines the client's hands and finds Heberden's nodes. Which finding should the nurse document in the client's medical record?

Correct Answer is D

Explanation

While the nurse is obtaining a health history, the client reports experiencing shortness of breath at times. The nurse determines that the client's respirations are regular and deep and respiratory rate is 14 breaths/minute. Which is the best nursing action?

The nurse plans to conduct a physical assessment of a toddler. Which protocol is best for the nurse to implement?

The nurse completes percussion of the abdomen on an adult client. Which finding is considered normal?

The nurse is assessing a client who is having pain of the right upper abdominal area. To assess the quality of the client's abdominal pain, which approach should the nurse use?

While counting the respirations of an adult client who is bedfast, the nurse observes that the client uses the sternocleidomastoid, trapezius, and abdominal muscles during respirations. Which action should the nurse take in response to this finding?

The charge nurse observes a practical nurse (PN) measuring the waist circumference of a client who has expressed a concern about health problems related to obesity. Which action should the nurse implement?

On the first postpartum day, the nurse examines the breasts of a new mother. Which condition is the nurse most likely to find?