A client diagnosed with end-stage renal disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?
"Perhaps you should discuss this with your physician."
"Of course, you aren't going to die, at least not in the immediate future."
"Tell me more about these fears of dying from a heart attack."
"I recommend you exercise daily and avoid smoking to decrease your risk."
The Correct Answer is C
Choice A Reason:
While suggesting the client discuss their concerns with their physician is a valid response, it may not provide the immediate emotional support the client is seeking. It's important for the nurse to address the client's current anxiety and provide reassurance before referring them to their physician.
Choice B Reason:
This response dismisses the client's fears and may come across as insensitive. It's crucial to acknowledge the client's emotions and provide a supportive environment where they feel heard and understood.
Choice C Reason:
Encouraging the client to express their fears allows the nurse to provide emotional support and helps in understanding the client's perspective. This approach fosters a therapeutic relationship and can help alleviate the client's anxiety.
Choice D Reason:
While recommending lifestyle changes is beneficial for overall health, this response does not address the client's immediate emotional needs. The nurse should first provide support for the client's expressed fears before discussing lifestyle modifications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
This response may invalidate the client's experience and can be perceived as dismissive of the client's delusional thoughts. It does not acknowledge the client's current reality or provide any therapeutic communication. An intervention is required to guide the nurse in offering a more empathetic and validating response.
Choice B Reason:
Asking the client to clarify what they mean encourages communication and shows a willingness to understand the client's perspective. It is a therapeutic approach that can help the nurse gain insight into the client's thoughts and provide appropriate support.
Choice C Reason:
This response could potentially validate the client's delusional thinking by engaging in the content of the delusion. It might lead to further discussion about the delusion rather than redirecting the client to reality, which could be counterproductive.
Choice D Reason:
Expressing empathy by acknowledging that the client's feelings must be frightening is a therapeutic response. It validates the client's emotions without confirming the delusional content and can help the client feel understood and supported.
Correct Answer is D
Explanation
Choice A reason:
Telling the client to call their boss and ask for their job back may not be the most supportive response. It could add stress by suggesting immediate action when the client may not be in a position to address the issue effectively due to their hospitalization.
Choice B reason:
This response might come across as dismissive, implying that the client's concerns are not valid or important. It does not offer emotional support or acknowledge the client's feelings about the situation.
Choice C reason:
Questioning why the partner would share such upsetting news does not provide comfort or support to the client. It could potentially create additional stress by introducing doubts about the partner's intentions.
Choice D reason:
This empathetic response acknowledges the client's likely emotional reaction to the news. It validates the client's feelings without making assumptions or judgments about the situation, which is an important aspect of nurse-client communication.
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