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 B
Explanation
Choice A rationale:
A school-age child wanting to go to summer camp is not at a higher risk for physical abuse.
Choice B rationale:
A toddler with cystic fibrosis is at a higher risk for physical abuse due to the stress and demands of caring for a child with a chronic illness.
Choice C rationale:
An adolescent preparing to leave home for college is not at a higher risk for physical abuse.
Choice D rationale:
A preschooler who is reluctant to share is not at a higher risk for physical abuse.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
Diarrhea is not typically associated with anorexia nervosa. Constipation is more common due to reduced food intake.
Choice B rationale:
Hypotension can occur in anorexia nervosa due to decreased circulating blood volume from inadequate fluid and food intake.
Choice C rationale:
Cold extremities can be a sign of anorexia nervosa due to the body’s attempt to conserve heat in response to inadequate caloric intake.
Choice D rationale:
Tooth erosion can occur in anorexia nervosa due to frequent vomiting, which exposes the teeth to stomach acid.
Choice E rationale:
Lanugo, or fine body hair, can develop in anorexia nervosa as the body’s attempt to insulate itself due to loss of body fat.
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