As the discharge date for a client to leave gets closer, the client states, “I’m afraid to leave here. I’m afraid for my well-being and safety.” Which nursing statement is most supportive?
“This is a difficult transition. Let’s formulate a plan to keep you feeling safe.”
“It’s the policy that patients can only live here for 30 days. Let’s try to extend it.”
“You’ve had a month to come up with a plan to work on your well-being.”
“Hopefully you learned from being in counseling. I’m sure this will work out fine.”
The Correct Answer is A
Choice A Reason:
“This is a difficult transition. Let’s formulate a plan to keep you feeling safe.”
This response is the most supportive because it acknowledges the client’s feelings and offers a proactive solution. By recognizing the difficulty of the transition and suggesting a plan to ensure the client’s safety, the nurse provides reassurance and practical support. This approach helps to build trust and shows empathy, which is crucial in a therapeutic relationship.
Choice B Reason:
“It’s the policy that patients can only live here for 30 days. Let’s try to extend it.”
While this response acknowledges the client’s fear, it focuses on policy rather than addressing the client’s immediate emotional needs. Extending the stay might not be feasible or beneficial in the long term. The primary goal should be to empower the client to feel safe and supported outside the facility.
Choice C Reason:
“You’ve had a month to come up with a plan to work on your well-being.”
This response can come across as dismissive and unsupportive. It implies that the client should have already resolved their fears, which may increase their anxiety and feelings of inadequacy. The focus should be on providing immediate support and reassurance rather than criticizing the client’s progress.
Choice D Reason:
“Hopefully you learned from being in counseling. I’m sure this will work out fine.”
This response is overly optimistic and does not address the client’s current fears. It provides false reassurance without offering any concrete support or solutions. The client needs to feel heard and supported, not just reassured that everything will be fine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason: Sits in group with back to peers
Sitting with one’s back to peers can indicate a desire for isolation or a lack of trust, but it is not a definitive sign of escalating anger or aggression. This behavior might be more indicative of withdrawal or discomfort in social settings rather than an immediate precursor to violence.
Choice B Reason: Has a tense facial expression and body language
This is the correct answer. Tense facial expressions and body language are clear indicators of escalating anger and aggression. Signs such as clenched fists, a rigid posture, and a furrowed brow are physical manifestations of internal tension and can precede aggressive outbursts. Recognizing these non-verbal cues is crucial for early intervention and de-escalation.
Choice C Reason: Requests PRN medications
Requesting PRN (as needed) medications can be a sign that the client is experiencing increased anxiety or distress. However, this behavior alone does not necessarily indicate escalating aggression. It may actually be a positive sign that the client is seeking help to manage their symptoms before they escalate.
Choice D Reason: Does not want to eat lunch
A lack of appetite or refusal to eat can be associated with various conditions, including depression, anxiety, or physical illness. While it may indicate that the client is not feeling well, it is not a specific indicator of escalating anger or aggression.
Correct Answer is C
Explanation
The correct answer is c.
Choice A Reason:
The statement “I am glad I’m getting out of here. I shouldn’t be here anyway.” indicates a lack of insight into the need for treatment and does not demonstrate readiness for discharge. Clients who are ready for discharge typically acknowledge their condition and the importance of ongoing care. This statement suggests denial or minimization of the issues that led to hospitalization, which can be a barrier to successful discharge and continued recovery1.
Choice B Reason:
The statement “I know I’m ready to go. I’ve got everything under control.” can be misleading. While it may seem positive, it lacks specific details about the client’s discharge plan and follow-up care. Readiness for discharge involves more than just feeling ready; it requires a concrete plan for managing medications, follow-up appointments, and support systems. Without these details, the statement does not fully indicate readiness for discharge.
Choice C Reason:
The statement “I have a list of my medications and have made an appointment with my doctor.” is correct. This statement demonstrates that the client has a clear understanding of their medication regimen and has taken proactive steps to ensure continuity of care after discharge. Having a follow-up appointment scheduled is a critical component of discharge planning, as it helps ensure that the client will continue to receive necessary support and monitoring. This level of preparation indicates that the client is ready for discharge.
Choice D Reason:
The statement “I just can’t get rid of these thoughts about dying.” is a serious concern and indicates that the client is not ready for discharge. Persistent thoughts of dying or suicidal ideation require immediate attention and intervention. Discharging a client with these thoughts would be unsafe and could lead to severe consequences. The client needs further evaluation and treatment to address these thoughts before being considered for discharge.
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