An older adult client recovering from a stroke says, “I hate using this walker. I feel like I’ve lost all my independence.” What is the nurse’s best response?
“Maybe you could decorate your walker to make it feel more personal.”
“Well, at least you’re still able to walk.”
“You will get used to it soon enough.”
“It’s normal to feel frustrated. Tell me more about how you are feeling.”
The Correct Answer is D
Choice A reason: Suggesting decoration minimizes the client’s emotional experience and does not address the underlying feelings of frustration or loss of independence.
Choice B reason: While acknowledging mobility, this statement minimizes the client’s emotional response and may come across as dismissive.
Choice C reason: Telling the client they will “get used to it” is dismissive and does not explore their feelings, making it non-therapeutic.
Choice D reason: Validating the client’s emotions and encouraging them to express their feelings demonstrates therapeutic communication, builds trust, and allows the nurse to provide emotional support and coping strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Obedience to authority is characteristic of the Pre-conventional level, where moral reasoning is based on avoiding punishment or gaining rewards.
Choice B reason: Personal interest also reflects the Pre-conventional level, where actions are guided by self-interest rather than societal norms.
Choice C reason: Universal ethical principles are part of the Post-conventional level, where moral reasoning is guided by internalized principles of justice and equality.
Choice D reason: Social approval reflects the Conventional level, where individuals conform to social norms and laws to gain approval from others and maintain social order.
Correct Answer is A
Explanation
Choice A reason: Older adults may process information more slowly and benefit from extra time to reflect on new knowledge. Allowing time promotes understanding, retention, and engagement in learning.
Choice B reason: While minimizing distractions is important, excluding supportive family members or caregivers can reduce reinforcement of education and may hinder adherence.
Choice C reason: Understanding all of a client’s life experiences is beyond the scope of a focused education session. While some context may help, the primary goal is effective teaching of hypertension management.
Choice D reason: Rushing through information can overwhelm the client and reduce retention. Teaching should be paced to accommodate cognitive processing and comprehension.
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