A nurse is caring for a client who has depressive disorder following the recent death of their partner.
Which of the following responses should the nurse make?.
"Everyone feels depressed during the grieving process.”.
"You should start participating in your usual activities.”.
"I remember how depressed I was after my friend died.”.
"Tell me what your relationship with your partner was like.”.
The Correct Answer is D
Choice A rationale:
This statement is generalizing the client’s feelings, which can lead to a lack of individualized care.
Choice B rationale:
This statement is not acknowledging the client’s feelings of grief, which can lead to a lack of trust in the nurse-client relationship.
Choice C rationale:
This statement is self-disclosing personal information, which can lead to boundary violations in the nurse-client relationship.
Choice D rationale:
This statement is encouraging the client to express their feelings, which can help in the grieving process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Reinforcing teaching on the client’s use of coping skills is important, but it’s not the first action the nurse should take. The nurse must first ensure the client’s safety.
Choice B rationale:
Encouraging the client to use personal support systems is beneficial, but it’s not the first action. Safety is the priority.
Choice C rationale:
Assisting with a client referral for social services can be helpful, but it’s not the first action. The nurse must first assess for immediate safety risks.
Choice D rationale:
Identifying if the client has thoughts of self-harm is the first action the nurse should take. In a crisis situation, the client’s safety is the priority.
Correct Answer is ["2.5"]
Explanation
The correct answer is 2.5 mL. Calculation: Identify the desired dose: 50 mg Identify the available dose: 20 mg/mL Apply the formula: Desired ÷ Available = Volume to administer Calculation: 50 mg ÷ 20 mg/mL = 2.5 mL
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