A nurse is talking with a client who reports that they have started feeling anxious every time they have to leave their house. Which of the following responses should the nurse make?
"Have you tried leaving your house just once per day?"
"Have you thought about moving to a new neighborhood?"
"Let's discuss how you feel when you leave your house."
"Tell me why you have developed an aversion to leaving your house."
The Correct Answer is C
Choice A Reason:
"Have you tried leaving your house just once per day?" This response assumes a potential solution without fully understanding the client's feelings. It doesn't encourage open discussion or exploration of the client's anxiety.
Choice B Reason:
"Have you thought about moving to a new neighborhood?" This response jumps to a significant life change as a solution without exploring the client's current situation and emotions. It may not be a practical or necessary step.
Choice C Reason:
"Let's discuss how you feel when you leave your house." This response is an open and therapeutic approach that encourages the client to express their feelings and thoughts about the situation. It allows the nurse to gather more information and better understand the client's anxiety related to leaving the house. The other options do not facilitate open communication or exploration of the client's feelings.
Choice D Reason:
"Tell me why you have developed an aversion to leaving your house." While this response is more open-ended, it phrases the question in a somewhat confrontational manner, which might make the client defensive. The previous response ("Let's discuss how you feel when you leave your house") is gentler and inviting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
"I will notify my provider if my baby sleeps more than 10 hours per day." This statement is not in line with normal newborn sleep patterns. Newborns typically sleep for longer durations and wake up for feedings. It's essential for parents to follow their provider's guidance on feeding and sleep schedules.
Choice B Reason:
"I will place my baby on his back for sleeping." This statement indicates an understanding of safe sleep practices for newborns. Placing a baby on their back for sleep is recommended to reduce the risk of sudden infant death syndrome (SIDS).
Choice C Reason:
"I will change my baby's diaper every 4 hours." While it's important to change a baby's diaper regularly, the frequency of diaper changes may vary depending on the baby's needs. Diapers should be changed when wet or soiled, not necessarily on a strict time schedule.
Choice D Reason:
"I will limit my baby's feedings so he does not become overweight." It is not advisable to limit a newborn's feedings for concerns about becoming overweight. Newborns need to feed frequently to meet their nutritional needs and support healthy growth and development. Parents should follow their healthcare provider's guidance on feeding and monitor the baby's growth and weight appropriately.
Correct Answer is A
Explanation
a. Support the client's decision to stop the treatment.
As a nurse, it is important to respect the client's autonomy and right to make decisions about their own care. The decision to stop dialysis treatment is a personal one and should be respected by the healthcare team. The nurse should support the client's decision and provide information and resources to help the client manage symptoms and maintain comfort during the end-of-life process.
It is not appropriate for the nurse to suggest that the client discuss the decision with her family or to discuss alternative treatment methods, as these decisions should be made by the client in conjunction with their healthcare provider.
It may be appropriate to offer spiritual or emotional support to the client, but this should be based on the client's preferences and not imposed upon them by the healthcare team.
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