A nurse working at a community health center is caring for a client who has diabetes mellitus. The client says, "I don't want to lose my vision." Which of the following responses should the nurse make?
"This happens if you fail to control your blood sugar."
"It sounds like you are worried about the complications of diabetes."
"There are many clients who have diabetes that don't end up losing their vision."
"I have a client that recently lost their vision."
The Correct Answer is B
A. This response is judgmental and may make the client feel blamed or shamed.
B. This is a therapeutic communication technique that reflects the client’s concern and encourages further dialogue.
C. This response minimizes the client’s feelings and may seem dismissive.
D. This shifts the focus away from the client and does not address their specific concern.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sunbathing is a modifiable behavior that increases the risk for skin cancer and can be changed.
B. An unhealthy diet is a lifestyle factor that can be modified through education and support.
C. Smoking is a modifiable risk factor that the client can choose to stop.
D. Geneticsis a non-modifiable risk factor, as individuals cannot change their inherited genetic traits.
Correct Answer is D
Explanation
A. Constipationis a common but non-life-threatening side effect of enteral feeding and is not the priority.
B. Thirstindicates possible fluid imbalance but is not urgent compared to risk of aspiration.
C. Abdominal crampingcan indicate intolerance to feeding but is not as immediately dangerous.
D. Regurgitating the enteral formulais the priority concernbecause it increases the risk of aspiration, which can lead to aspiration pneumonia—a life-threatening complication. This finding requires immediate intervention.
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