A patient is scheduled to have biofeedback therapy for migraine headaches. On arrival to the clinic, the patient appears anxious and fearful and tells the nurse that she does not want electric shocks. The most reassuring response by the nurse is:
"You seem too anxious for this procedure. Let's reschedule it at another time."
"Didn't the doctor explain this procedure to you?"
"There are no electrical shocks involved; the doctor is looking at your body's activity."
"Don't worry; this will not hurt a bit."
The Correct Answer is C
Choice A reason: Rescheduling dismisses the patient’s fear; it delays therapy without addressing misconceptions, missing a chance to educate and proceed with migraine relief.
Choice B reason: Questioning prior explanation may shame the patient; it doesn’t clarify biofeedback’s non-invasive nature, failing to reduce anxiety about shocks.
Choice C reason: Explaining no shocks and describing biofeedback as monitoring reassures scientifically; it corrects fears, aligning with its role in stress-related migraine management.
Choice D reason: Vague reassurance lacks specificity; without addressing shocks, it’s less effective, as patients need clear, factual dispelling of their expressed concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Narcotics are controlled substances requiring strict accountability; two nurses—one ending and one starting the shift—verify counts to ensure accuracy and prevent diversion per regulatory standards.
Choice B reason: The head nurse and pharmacist may oversee inventory, but shift change counts involve direct caregivers for real-time accuracy, not administrative staff, ensuring immediate responsibility and oversight.
Choice C reason: Involving all nurses from both shifts is impractical and unnecessary; it dilutes accountability and increases error risk, as only two are needed to confirm the count efficiently.
Choice D reason: Pharmacy technicians lack authority over unit narcotics, and the charge nurse alone doesn’t suffice; two nurses ensure a witnessed, reliable count per hospital policy and law.
Correct Answer is B
Explanation
Choice A reason: Crushing pills can alter drug efficacy and safety, especially for medications with controlled-release properties, making this inappropriate without specific provider instructions.
Choice B reason: Requesting a liquid form accommodates the patient’s physical limitations, maintaining therapeutic integrity and ensuring safe and effective medication administration.
Choice C reason: Introducing pills directly into the patient’s mouth risks aspiration and violates safe administration practices, emphasizing the need for alternative methods.
Choice D reason: If the patient struggles to hold the cup, self-administration becomes impractical. Assistance through appropriate alternative forms ensures compliance and safety.
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