The nurse is caring for a patient who is concerned about living alone. The best response by the nurse is:
“I think you should live with your family."
"Why don't you live with your family?"
“If you were my mom, I'd have you live with me."
"Where have you considered living?"
The Correct Answer is D
A. "I think you should live with your family." This is too directive and imposes the nurse’s opinion rather than allowing the patient to explore their own options.
B. "Why don't you live with your family?" This response may come across as judgmental or dismissive, potentially making the patient feel defensive.
C. "If you were my mom, I'd have you live with me." This statement is not helpful and shifts the focus to the nurse’s feelings rather than exploring the patient’s concerns.
D. "Where have you considered living?" This is an open-ended question that invites the patient to discuss their thoughts and feelings, facilitating a more patient-centered response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. wrings her hands and paces around the room while denying that she is upset.
This example reflects incongruence. The patient's body language (pacing, wringing hands) suggests anxiety or distress, which does not match her verbal denial of being upset.
B. states she is comfortable while she frowns, and her teeth are clenched.
This example also reflects incongruence. Her facial expression and clenched teeth contradict her statement of comfort, indicating her communication is not aligned.
C. is tearful and slow in speech when talking about her husband's death.
This example reflects congruence. The patient’s verbal expression and nonverbal cues are aligned, indicating that her communication is consistent with her emotions.
D. smiles and laughs while speaking of feeling lonely and depressed.
This example reflects incongruence. Smiling and laughing contradict the verbal expression of loneliness and depression, indicating a mismatch in her communication.
Correct Answer is B
Explanation
A. is appropriate only in special circumstances, such as with young children.
While touch can be especially comforting to children, it can be beneficial in various circumstances, depending on the patient's needs and cultural preferences.
B. can convey caring and support when words are difficult.
Touch can be a powerful, nonverbal way to express empathy and support, especially when patients are distressed or words may not suffice.
C. is a nursing intervention of choice in almost all situations.
Touch may not always be appropriate, as some patients may have cultural or personal preferences against physical contact. It should be used selectively.
D. should be avoided because of problems of cultural misinterpretation.
Touch should not be avoided entirely but should be used with cultural sensitivity and respect to avoid any misinterpretation.
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