Linda is pacing the ﬂoor and appears extremely anxious. The daily shift nurse approaches Linda to lessen her anxiety. The most therapeutic statement by the nurse would be:

How about watching a football game?

What do you have to be upset about now?

Tell me how you are feeling today.

Ignore the client.

Answer and Explanation

The Correct Answer is C

This statement shows that the nurse is interested in Linda's feelings and is willing to listen to her. It allows Linda to express her emotions and concerns, which can help to reduce her anxiety.

Option A ("How about watching a football game?") may not be appropriate as Linda may not be interested in football or may not find it helpful in reducing her anxiety.

Option B ("What do you have to be upset about now?") is not a therapeutic statement as it can be perceived as dismissive and invalidating of Linda's feelings.

Option D ("Ignore the client.") is never an appropriate approach for a nurse or any healthcare professional as it goes against the principles of providing care and support to patients.

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Correct Answer is D

Explanation

This response is empathetic and allows the client to express her feelings openly. It demonstrates active listening and validates the client's emotions.

Option A ("I know exactly how you feel") can come across as dismissive or assuming, and it may not accurately reﬂect the client's unique experience.

Option B ("Most people experience depressed feelings after a divorce") may also come across as dismissive and minimizes the client's feelings.

Option C ("Look on the bright side, you will be glad you divorced him in a couple of years") is not empathetic and does not acknowledge the client's current emotional state.

A. Leave the patient to get help. B. Call the patient’s health-care provider from your cell phone. C. Help the patient get up and then document your findings in the chart. D. Gather more information by making observations about the patient.

Correct Answer is D

Explanation

The first step in the nursing process is assessment, which involves gathering information about the patient’s condition. In this situation, the nurse should make observations about the patient’s physical and mental status, including any signs of injury or distress. This information can then be used to determine the appropriate course of action and provide appropriate care. The other

The other options do not represent the first step in the nursing process and may not be appropriate in this situation.

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Linda is pacing the ﬂoor and appears extremely anxious. The daily shift nurse approaches Linda to lessen her anxiety. The most therapeutic statement by the nurse would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client tells the nurse that she feels very depressed about her recent divorce. Which of the following is the nurses best therapeutic response?

Correct Answer is D

Explanation

You find a patient on the ﬂoor at shift change. She is awake and alert. She is confused now and was not controlled before being found on the ﬂoor. What is your first step in the nursing process in this situation?

Correct Answer is D

Explanation

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