The nurse is caring for a client who is legally blind as a result of macular degeneration. When attempting to meet this client's psychosocial needs, what nursing action is most appropriate?
Promote the client's hope for recovery.
Encourage the client to focus on use of other senses.
Assess and promote the client's coping skills.
Emphasize that lifestyle will be unchanged.
The Correct Answer is C
A. Macular degeneration is progressive and irreversible, so promoting hope for recovery may be unrealistic and could lead to frustration or false expectations.
B. While encouraging the use of other senses may help with adaptation, this does not directly address the client’s psychosocial needs.
C. Assessing and supporting the client’s coping skills is essential in helping them adjust to permanent vision loss, maintain independence, and prevent depression or anxiety. Psychosocial interventions are critical in chronic, irreversible conditions.
D. Blindness will change the client’s lifestyle, so emphasizing that nothing will change is misleading and could hinder realistic adjustment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Keeping immunizations up to date, especially pneumococcal and influenza vaccines, helps prevent recurrent ear infections that can lead to complications.
B. Bottles in bed increase the risk of otitis media due to pooling of formula in the nasopharynx and eustachian tube, and should be avoided.
C. Tubes are expected to fall out spontaneously within 6–12 months; this is not an emergency. Parents should simply notify the provider at the next follow-up.
D. Purulent drainage may indicate an infection and should be reported promptly to the health care provider for evaluation and possible treatment.
E. Leftover antibiotics should never be saved or reused without medical direction, as improper use can lead to resistance or ineffective treatment.
Correct Answer is ["B","C","D","E","F"]
Explanation
A. Enemas and laxatives are contraindicated because they can increase intra-abdominal pressure and risk of appendix rupture.
B. IV fluids restore hydration, and antibiotics help prevent infection.
C. Consent must be signed before surgery.
D. Client should remain NPO to reduce aspiration risk during anesthesia.
E. Monitoring urine output is essential for assessing hydration and kidney perfusion.
F. IV pain medication is appropriate for pain control pre- and postoperatively.
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