During a therapy session, a client begins to cry while discussing a traumatic experience. What is the nurse’s most appropriate response?
“I can see this is very difficult for you.”.
“Please don’t cry, it’s not good for you.”.
“Why are you crying?”
“Let’s move on to a different topic to distract you.”.
The Correct Answer is A
Choice A rationale
“I can see this is very difficult for you.”. This response is appropriate as it acknowledges the client’s emotions and provides validation. It demonstrates empathy and encourages the client to express their feelings, which is essential in therapeutic communication.
Choice B rationale
“Please don’t cry, it’s not good for you.”. This response is inappropriate as it dismisses the client’s emotions and may make them feel invalidated. Crying is a natural response to emotional distress, and the nurse should support the client in expressing their feelings.
Choice C rationale
“Why are you crying?” This response is also inappropriate as it may come across as judgmental or dismissive. It does not provide the support and empathy the client needs during a difficult moment.
Choice D rationale
“Let’s move on to a different topic to distract you.”. This response is not appropriate as it avoids addressing the client’s emotions and may make the client feel that their feelings are not important. The nurse should focus on supporting the client through their emotional experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
An advance directive is a legal document that outlines a patient’s wishes regarding medical treatment in situations where they are unable to communicate their decisions. It includes instructions on life-sustaining treatments, resuscitation, and other medical interventions. This ensures that the patient’s preferences are respected and followed by healthcare providers.
Choice B rationale
A document that specifies the final arrangements for the patient is not an advance directive. Final arrangements typically refer to funeral and burial plans, which are not related to medical treatment decisions. Advance directives focus on medical care and treatment preferences.
Choice C rationale
A legal document that designates a person to make healthcare decisions for the patient is known as a durable power of attorney for healthcare or healthcare proxy. While this is an important component of advance care planning, it is not the same as an advance directive. An advance directive specifically outlines the patient’s treatment preferences.
Choice D rationale
A legal document that communicates the patient’s wishes regarding their care is a broader description that can include various types of advance care planning documents. However, the best description of an advance directive is a document that outlines the patient’s wishes regarding medical treatment.
Correct Answer is B
Explanation
Choice A rationale
Contacting the patient’s family for approval before resuscitation is not appropriate when there is a Do Not Resuscitate (DNR) order. A DNR order is a legal document that indicates the patient’s wish not to undergo resuscitation in the event of cardiac or respiratory arrest.
Healthcare providers must respect this order and not seek additional approval from family members.
Choice B rationale
Respecting the order and refraining from initiating resuscitation is the correct action when there is a DNR order. This legal document reflects the patient’s decision to forgo resuscitation efforts, and healthcare providers are obligated to honor this decision to respect the patient’s autonomy and wishes.
Choice C rationale
Ignoring the order and proceeding with resuscitation is a violation of the patient’s rights and wishes. A DNR order must be followed to ensure that the patient’s preferences are respected, and disregarding it can lead to legal and ethical consequences.
Choice D rationale
Implementing the order only if the patient is in the ICU is incorrect. A DNR order applies in all healthcare settings, not just the ICU. Healthcare providers must follow the DNR order regardless of the patient’s location within the healthcare facility.
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