A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E” in the NURSE mnemonic?

" It sounds like you are exhausted."

"Tell me more about how you are feeling"

"You have so much to deal with. How can I be of help to you?"

"It is impressive how you have managed to deal with the situation"

Answer and Explanation

The Correct Answer is A

A. "It sounds like you are exhausted."
This response demonstrates empathy and acknowledges the client's emotional state. The "E" in the NURSE mnemonic stands for "empathize," which involves recognizing and validating the client's feelings. By acknowledging that the client may be exhausted, the nurse shows understanding and empathy towards the client's experience of feeling overwhelmed.

B. "Tell me more about how you are feeling."
This response demonstrates active listening and encourages the client to express their emotions further. While important for therapeutic communication, it does not specifically address the client's feeling of being overwhelmed as directly as option A.

C. "You have so much to deal with. How can I be of help to you?"
This response demonstrates support and willingness to assist the client but does not directly address the client's reported feeling of being overwhelmed.

D. "It is impressive how you have managed to deal with the situation."
This response offers praise but does not directly address the client's reported feeling of being overwhelmed. It may also inadvertently minimize the client's feelings by focusing on their ability to cope rather than acknowledging their current emotional state.

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Correct Answer is D

Explanation

A) Painful urination: Painful urination, also known as dysuria, is not a typical symptom of BPH. Dysuria is more commonly associated with conditions such as urinary tract infections (UTIs) or urethritis rather than BPH.

B) Urge incontinence: While BPH can cause lower urinary tract symptoms such as urgency and frequency, urge incontinence (involuntary loss of urine associated with a sudden urge to urinate) is not typically a primary symptom of BPH. Urge incontinence is more commonly associated with overactive bladder (OAB) syndrome.

C) Critically elevated prostate-specific antigen (PSA) level: While BPH can cause an elevation in PSA levels, a critically elevated PSA level alone is not a definitive diagnostic finding for BPH. PSA levels can be elevated in various conditions affecting the prostate gland, including BPH, prostate cancer, and prostatitis. Therefore, PSA levels must be interpreted in conjunction with other clinical findings and diagnostic tests to accurately assess prostate health and diagnose specific prostate conditions.

D) Difficulty starting the flow of urine: Benign prostatic hyperplasia (BPH) is characterized by the enlargement of the prostate gland, which can obstruct the flow of urine through the urethra. This obstruction leads to symptoms such as difficulty starting the flow of urine, weak urinary stream, urinary hesitancy, and incomplete bladder emptying. These symptoms occur due to the mechanical obstruction of the urethra by the enlarged prostate gland. Difficulty starting the flow of urine is a hallmark symptom of BPH and is often one of the earliest manifestations experienced by affected individuals.

A. Palliative care is limited to clients who are in a healthcare facility. B. The goal of palliative care is to cure an acute illness for a client. C. Palliative care is restricted to clients who are terminally ill D. Palliative care can be provided to a client who is receiving a curative treatment

Correct Answer is D

Explanation

A) Palliative care is limited to clients who are in a healthcare facility: Palliative care can be provided in various settings, including hospitals, hospices, long-term care facilities, and even in the client's home. It is not limited to clients who are in a healthcare facility.

B) The goal of palliative care is to cure an acute illness for a client: Palliative care focuses on providing relief from the symptoms and stress of a serious illness, rather than curing the illness itself. The primary goal is to improve the quality of life for both the client and their family, focusing on physical, psychosocial, and spiritual aspects of care.

C) Palliative care is restricted to clients who are terminally ill: While palliative care is often associated with end-of-life care for clients with terminal illnesses, it is not limited to this population. Palliative care can be provided at any stage of a serious illness, from diagnosis through treatment, survivorship, or end-of-life care.

D) Palliative care can be provided to a client who is receiving a curative treatment: This is the correct statement. Palliative care can be integrated with curative treatment for clients with serious illnesses. It focuses on managing symptoms, providing emotional support, and improving the overall quality of life, regardless of whether the client is receiving treatment aimed at curing their illness.

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A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E” in the NURSE mnemonic?

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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