A nurse notices a teenage patient with paraplegia in a wheelchair crying. What should the nurse’s response be?
“I’ll return later, and we can talk.”.
“Everything will be okay.”.
“Do you feel like crying helps?”
“Would you like to be alone?”
The Correct Answer is A
Choice A rationale
The nurse should respect the patient’s need for space while also expressing willingness to talk when the patient is ready.
Choice B rationale
Telling the patient “Everything will be okay” may seem dismissive of the patient’s feelings and may not be helpful in this situation.
Choice C rationale
Asking “Do you feel like crying helps?” might come across as judgmental or dismissive.
Choice D rationale
Asking “Would you like to be alone?” might make the patient feel isolated or abandoned.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Stopping aspirin a week before surgery is generally recommended to reduce the risk of bleeding. Aspirin can inhibit platelet aggregation and prolong bleeding time.
Choice B rationale
Taking prescribed blood pressure medication with a sip of water on the day of surgery is usually allowed. However, this can depend on the specific medication and the patient’s health status.
Choice C rationale
Not wearing contact lenses on the day of surgery is a standard preoperative instruction. This is because contact lenses can interfere with anesthesia administration and potentially cause injury to the eyes.
Choice D rationale
A recent cough and runny nose could indicate a respiratory infection. This could potentially increase the risk of complications during surgery and may need to be evaluated further. OK. Let’s go through these questions one by one:
Correct Answer is B
Explanation
Choice A rationale
The Scale for Assessment of Negative Symptoms (SANS) is a tool used to assess negative symptoms in schizophrenia and is not typically used in the assessment of cognitive disorders.
Choice B rationale
The Mental Status Examination (MSE) is a key part of the clinical assessment process in psychiatric practice. It is a structured way of observing and describing a patient’s current state of mind, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and judgement.
Choice C rationale
The Abnormal Involuntary Movements Scale (AIMS) is a rating scale that measures involuntary movements known as tardive dyskinesia (a side effect of long-term use of antipsychotic drugs). It is not typically used in the assessment of cognitive disorders.
Choice D rationale
The Mini-Mental State Examination (MMSE) is a commonly used test for complaints of memory problems or when a diagnosis of dementia is being considered. However, in this case, the MSE would be a more comprehensive tool.
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