A patient recently diagnosed with multiple sclerosis is feeling overwhelmed and hopeless. What is the most appropriate nursing intervention?
Select one:
Tell the patient that everything will be fine
Refer the patient to psychiatry
Encourage the patient to accept the diagnosis
Provide information about treatment options and support resources
The Correct Answer is D
A. Telling the patient that everything will be fine minimizes the patient’s feelings and may come across as dismissive rather than supportive.
B. While referral to mental health services may be necessary later, the initial nursing intervention focuses on support and education.
C. Acceptance is a process and cannot be forced; encouraging acceptance without support may increase feelings of hopelessness.
D. Educating the patient about treatments and available support empowers them, helps reduce anxiety, and fosters hope by showing that management and quality of life improvements are possible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Respite care provides temporary relief for caregivers, allowing them time to rest and recharge. This is a supportive, practical solution that addresses caregiver exhaustion and helps prevent burnout.
B. Completely stopping visits may negatively impact the patient’s emotional well-being and the caregiver’s sense of responsibility. Respite care is a better, structured alternative.
C. While empathy is important, this response is not sufficient and does not address the caregiver’s expressed exhaustion.
D. This may feel like abandonment or guilt for the caregiver and may not be feasible or supportive. Encouraging shared responsibility or respite care is more appropriate.
Correct Answer is B
Explanation
Patient's prescribed dose: 60 mg × 2 = 120 mg/24 hr
Maximum recommended dose: 80 mg/24 hr
Patient's weight: 30 kg
Recommended dosage range:
0.5 mg/kg × 30 kg = 15 mg/day
2 mg/kg × 30 kg = 60 mg/day
The prescribed 120 mg/day exceeds both the maximum safe dose of 80 mg/day and the therapeutic range for this patient (15–60 mg/day).
Therefore, the dose is not safe.
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