The nurse is caring for a client that fell at home and is planning to move in with their adult child. Which of the following statements, by the client, would require immediate follow up by the nurse?
"I will try to make myself useful while I am in their home."
"My adult child has been preparing my grandchildren for my arrival."
"I will miss my home that I lived in for so long."
"My other adult child is willing to help me too."
The Correct Answer is C
A. "I will try to make myself useful while I am in their home." This statement reflects a positive attitude and willingness to contribute, which does not require immediate follow-up.
B. "My adult child has been preparing my grandchildren for my arrival." This statement indicates that preparations are being made, which is generally a good sign and does not require immediate follow-up.
C. "I will miss my home that I lived in for so long." This statement requires immediate follow-up because it may indicate emotional distress or difficulty adjusting to the new living situation. The nurse should assess the client’s feelings and provide support to help them cope with the transition.
D. "My other adult child is willing to help me too." This statement is positive and indicates additional support, which is generally reassuring and does not require immediate follow-up.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hemiparesis: Hemiparesis refers to weakness on one side of the body, which does not fully describe the inability to move only the legs.
B. Hypertonicity: Hypertonicity refers to increased muscle tone or stiffness, not the inability to move legs.
C. Crepitation: Crepitation refers to a crackling or popping sound in the joints, not the inability to move legs.
D. Paraplegia: Paraplegia refers to the paralysis of the lower half of the body, including the legs, which fits the description of the patient’s condition.
Correct Answer is C
Explanation
A. “Your children, they cannot take away your driving privileges." This response is dismissive and does not address the safety concerns or explore alternative solutions. It may also ignore legal and practical considerations.
B. "Driving is hard for older people; now you will have more time to try a new hobby." This response does not directly address the individual's concerns and may come across as insensitive. It also does not explore practical alternatives for transportation.
C. "This change can be difficult; let's explore alternative transportation methods." This is the most appropriate response as it acknowledges the difficulty of the situation while offering practical support by exploring alternative transportation options.
D. “Losing your privileges is awful; now you have to wait for someone else to drive you around." This response is negative and does not provide constructive support. It may increase feelings of frustration or helplessness rather than addressing the issue constructively.
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