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 C
Explanation
A. BUN typically increases, not decreases, in these conditions.
B. BUN levels usually rise in renal disease due to reduced kidney function and accumulation of nitrogenous waste.
C. Impaired kidney function and urinary obstruction decrease the excretion of urea, leading to elevated BUN levels in the blood.
D. While serum protein may be low in nephrotic syndrome, BUN is not typically decreased and may even be elevated if renal function is compromised.
Correct Answer is D
Explanation
A. The PCA pump allows the patient to self-administer medication within safe limits set by the provider.
B. If the PCA is not effectively managing pain, the nurse needs to be informed to reassess and adjust the plan.
C. The patient can press the button to receive a controlled dose of analgesic.
D. This statement indicates the client does not understand the purpose of a PCA pump, which is designed to eliminate the need to call a nurse for each dose. This response signals the need for further teaching.
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