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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and effectively and can help ensure that the patient receives the best possible care.
While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.
Correct Answer is D
Explanation
This client’s behavior indicates that they may pose a danger to themselves or others and may require immediate intervention to ensure their safety and the safety of those around them.
The other clients (a, b, c) may also have mental health needs, but their situations do not necessarily indicate the need for emergency admission to a mental hospital. It is important for healthcare providers to assess each client’s individual needs and to provide appropriate care and support.
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