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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

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.

A. "Drinking coffee at night is okay as long as you are used to it." B. "Moderate exercise 2 hours before bed is recommended." C. "Drinking alcoholic beverages, promotes better sleep." D. "Most adults require 6-9 hours of sleep per night."

Correct Answer is D

Explanation

A. "Drinking coffee at night is okay as long as you are used to it." Caffeine can disrupt sleep patterns and should be avoided close to bedtime, even if the individual is accustomed to it.

B. "Moderate exercise 2 hours before bed is recommended." Moderate exercise can promote better sleep, but it is generally recommended to complete exercise at least a few hours before bedtime to avoid overstimulation.

C. "Drinking alcoholic beverages promotes better sleep." Alcohol can initially induce sleep but often leads to disturbed sleep later in the night and can affect sleep quality.

D. "Most adults require 6-9 hours of sleep per night." This is accurate and reflects the general guideline for sleep duration needed for most adults to maintain health and well-being.

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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?

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Correct Answer is C

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Correct Answer is D

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