A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Your heart stops.

Your heart is pumping too much blood.

Your heart has an area of muscle that has died.

Your heart is not an efficient pump.

Answer and Explanation

The Correct Answer is D

Choice A reason: The statement "Your heart stops" is incorrect; heart failure does not mean the heart has stopped functioning.

Choice B reason: "Your heart is pumping too much blood" is not accurate; heart failure often means the heart cannot pump enough blood to meet the body's needs.

Choice C reason: While an area of heart muscle may die during a heart attack, this is not the defining characteristic of heart failure.

Choice D reason: The most accurate description of heart failure is that the heart is not pumping efficiently, which can lead to symptoms like fatigue and shortness of breath.

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Correct Answer is A

Explanation

Choice A Reason:Grandiosity refers to an exaggerated sense of one's importance, power, knowledge, or identity—even with little evidence to support this. In bipolar disorder, grandiosity can occur during both manic and hypomanic episodes. Individuals experiencing grandiosity may believe they have special powers, abilities, or are destined for greatness. This behavior aligns with the client's statement about revolutionizing the industry, which reflects an inflated sense of self-importance.

Choice B Reason:Flight of ideas is characterized by rapid, continuous, and often disjointed thoughts. It is a symptom commonly seen in manic episodes of bipolar disorder. However, the client's statement does not specifically indicate flight of ideas.

Choice C Reason:Confabulation refers to the production of fabricated or distorted memories or information. It is not directly related to the client's statement about revolutionizing the industry

Choice D Reason:Clang associations involve the use of rhyming or similar-sounding words without logical connections. While it is a symptom seen in some mental health conditions, it is not directly applicable to the client's behavior described in the question.

A. "Why don't you wait to speak to your provider in the morning?" B. "Go back to your room, and I'll try to get in touch with your provider in the morning." C. "You seem to be very upset about something. Tell me about it." D. "Everything will be okay until morning. You can speak with your provider then."

Correct Answer is C

Explanation

Choice A reason: This response may come off as dismissive and does not address the patient's immediate concerns or feelings.

Choice B reason: While this response offers a solution, it does not engage with the patient's current emotional state or provide immediate support.

Choice C reason: This response is therapeutic as it acknowledges the patient's emotional state and invites them to discuss their concerns, which is important in managing patients with bipolar disorder.

Choice D reason: This response might minimize the patient's feelings and does not encourage communication about the patient's current distress.

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A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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