The nurse is caring for a patient with a new mobility deficit due to a recent stroke (CVA). The patient states, "I hate not being able to do simple things like walking by myself anymore." Which of the following responses provides the best support for the patient?
"You sound frustrated, tell me more about this feeling."
"You remind me of my mother, she is always frustrated when she is ill."
"I am concerned about your mental health; I will call your family."
"You need to be more careful after this stroke or you could fall."
The Correct Answer is A
A. "You sound frustrated, tell me more about this feeling." This response validates the patient’s feelings and opens up a discussion about their emotions, which provides support and helps address their psychological needs.
B. "You remind me of my mother, she is always frustrated when she is ill." This response is not focused on the patient’s needs and shifts attention away from their concerns.
C. "I am concerned about your mental health; I will call your family." While mental health is important, calling the family without first addressing the patient’s immediate concerns might feel intrusive or premature.
D. "You need to be more careful after this stroke or you could fall." This response addresses safety but does not provide emotional support or acknowledge the patient’s feelings of frustration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A. Sexually transmitted infections: This is relevant for young adults as preventive measures can help avoid STIs, which is an important health issue in this age group.
B. Communicable diseases: While important, communicable diseases are a broader category and might not be as specific to the preventive focus for young adults.
C. Cardiovascular disease: Cardiovascular disease becomes a more significant concern in middle adulthood, so it is less relevant to preventive measures for young adults.
D. Mental health alterations: Mental health issues are significant and relevant for young adults, but cardiovascular disease is more specific to preventive measures for the transition into middle adulthood.
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