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 B
Explanation
Choice A reason:
Negative Operant Conditioning involves the removal of an unpleasant stimulus to increase the likelihood of a behavior being repeated. In this scenario, the nurse is not removing an unpleasant stimulus but is instead taking over a task to prevent conflict, which does not align with the principles of negative operant conditioning.
Choice B reason:
Positive Role Modeling is demonstrated when an individual exhibits behavior that is beneficial and can be emulated by others. By taking the tray to avoid conflict, the nurse is showing understanding and flexibility, qualities that are positive and can be modeled in a healthcare setting.
Choice C reason:
Aggressiveness is characterized by hostile or forceful behavior or attitudes. The nurse's action of taking the tray to the kitchen is not aggressive; it is a non-confrontational approach to managing the situation.
Choice D reason:
Assertiveness involves standing up for one's own rights in a direct, honest way, while also respecting the rights of others. The nurse's behavior is not assertive, as they are not addressing the client's refusal directly but are instead choosing to complete the task themselves to avoid confrontation.
Correct Answer is A
Explanation
Choice A reason:
The nurse's response is therapeutic because it clearly communicates the expectations of the treatment setting in a firm yet non-confrontational manner. By stating "it is time for group therapy and we expect everyone to attend," the nurse is providing structure and clarity, which can help orient the client to the reality of the situation and the routine of the therapeutic environment.
Choice B reason:
While the nurse's response does include a statement of understanding, it does not primarily demonstrate empathy. Empathy would involve acknowledging the client's feelings and concerns more directly, rather than focusing on the expectations of the therapy session.
Choice C reason:
Reflection is a therapeutic communication technique where the nurse repeats or paraphrases what the client has said to show that they are listening and to encourage further discussion. In this case, the nurse does not use reflection but rather responds with a statement of expectation.
Choice D reason:
The nurse's response does not set limits on manipulative behavior, as there is no indication that the client's behavior is manipulative. The client expresses a delusional belief, and the nurse addresses this by redirecting the client to the scheduled group therapy session.
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