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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. “I drink one glass of wine before bed to help me sleep.” This statement indicates a potentially unhealthy coping strategy. Using alcohol as a sleep aid can lead to dependency and does not address the underlying grief. It is not considered an appropriate coping mechanism.

B. “I joined an art group that my partner attended at my church.” This statement indicates a healthy coping strategy. Joining an art group provides social support, a sense of community, and a constructive outlet for emotions. It also honors the memory of the partner in a positive way.

C. “I am leaving my partner’s belongings in the same place.”This statement may indicate difficulty in moving forward and could suggest that the client is struggling to accept the loss. While it is normal to keep some belongings for sentimental reasons, leaving everything unchanged might hinder the grieving process.

D. “I can make it through most of the day before I feel like crying.” While it's normal to experience a range of emotions during grief, excessive suppression of emotions can hinder the healing process. It's important for the client to allow themselves to grieve and express their emotions in healthy ways.

A. "Can you describe the feeling you are experiencing?" B. "Would you like me to give you some pain medication?" C. "Do you feel better sitting in the chair?" D. "Let me know if you are still uncomfortable in the chair."

Correct Answer is A

Explanation

A. "Can you describe the feeling you are experiencing?" Asking the patient to describe their sensation helps identify the nature of their discomfort and guides appropriate pain management or further investigation.

B. "Would you like me to give you some pain medication?" Offering pain medication may address the discomfort, but it is important to first understand the nature and severity of the pain.

C. "Do you feel better sitting in the chair?" This question assesses the patient’s comfort but does not address the cause of the pain or discomfort.

D. "Let me know if you are still uncomfortable in the chair." This is a follow-up question rather than an initial assessment, and it may not be proactive enough in addressing the cause of pain.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who recently experienced the death of a partner. Which of the following statements would indicate to the nurse that the client is demonstrating appropriate coping strategies?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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