During a family meeting, a nurse notices that the client's spouse appears anxious and quiet. What should the nurse do to demonstrate empathy towards the spouse?
Provide the spouse with educational materials about the client's condition.
Ask direct questions about their silence to get a response.
Focus on the client's needs and address the spouse's concerns later,
Acknowledge the spouse's feelings by saying it seems like this situation might be overwhelming for you. What can I do to help?
The Correct Answer is D
A. Provide the spouse with educational materials about the client's condition: Offering information is helpful for understanding the client’s condition, but it does not directly address the spouse’s emotional state or demonstrate empathy. Emotional support requires acknowledgment of feelings.
B. Ask direct questions about their silence to get a response: Pressuring the spouse to speak may increase anxiety and inhibit communication. Empathy involves creating a safe, nonjudgmental space rather than forcing disclosure.
C. Focus on the client's needs and address the spouse's concerns later: Ignoring the spouse’s emotional cues can lead to feelings of isolation and distress. Providing support in the moment is essential for family-centered care.
D. Acknowledge the spouse's feelings by saying it seems like this situation might be overwhelming for you. What can I do to help?: This approach validates the spouse’s emotions and invites dialogue in a supportive way. It demonstrates empathy, encourages trust, and allows the nurse to respond to emotional needs while maintaining sensitivity to the family’s experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increase the client's fluid intake: Increasing fluids would worsen fluid retention and exacerbate heart failure symptoms. This action is inappropriate for sudden weight gain related to fluid overload.
B. Arrange for a follow-up with the cardiologist: While follow-up is important, arranging an appointment is not an immediate independent nursing intervention. It addresses long-term management rather than the first nursing response.
C. Administer diuretics as prescribed: Administering medication is a dependent intervention that requires a provider’s order. Nurses cannot independently initiate or adjust diuretics without a prescription.
D. Educate the client on low sodium diet importance: Patient education is an independent nursing intervention. Teaching the client about sodium restriction helps prevent further fluid retention, addresses the cause of weight gain, and can be implemented immediately, making it the first priority action.
Correct Answer is B
Explanation
A. Manually override the lab results to remove the red rotation: Altering or overriding abnormal lab results without proper review is unsafe and violates professional and legal standards. It can lead to missed critical interventions and endanger patient safety.
B. Immediately notify the healthcare provider about the abnormal results: Abnormal lab values, especially those flagged as critical, require prompt communication to the provider. Timely notification ensures appropriate assessment, intervention, and prevention of potential complications. This action prioritizes patient safety.
C. Print the lab results and file them without taking further action: Filing abnormal results without notifying the provider delays necessary treatment and compromises patient care. Documentation alone does not address the immediate clinical significance of abnormal findings.
D. Ignore the results and wait for the next scheduled follow-up: Ignoring critical lab results can lead to deterioration of the patient’s condition. Active response to abnormal findings is a professional responsibility to ensure timely interventions.
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