A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?

"I think you should talk with your family about your anger

"You are probably very depressed, which is understandable with such a diagnosis."

"Tell me more about how you are feeling"

"Why haven't you shared your feelings with your family?"

Answer and Explanation

The Correct Answer is C

A. "I think you should talk with your family about your anger." This response shifts the focus to action without first exploring the client's feelings, which may not be therapeutic initially.
B. "You are probably very depressed, which is understandable with such a diagnosis." This response labels the client's emotions and may not be helpful in allowing the client to explore their feelings further.
C. "Tell me more about how you are feeling." This response uses therapeutic communication by encouraging the client to express feelings and concerns, providing emotional support and validation.
D. "Why haven't you shared your feelings with your family?" This response can sound accusatory and may not encourage open communication.

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Correct Answer is C

Explanation

A. Vomiting: Vomiting is objective data because it can be observed and measured by the nurse.
B. Auscultation of heart murmur: This is objective data obtained through physical examination techniques.
C. Client's complaint of nausea: Subjective data is information reported by the client about their experience, feelings, or symptoms, which cannot be directly observed by others.
D. Blood pressure reading: This is objective data obtained through measurement.

A. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker. B. A 78-year-old patient newly admitted with anemia requiring a blood transfusion C. A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking D. A 44-year-old patient admitted yesterday with pneumonia

Correct Answer is B

Explanation

. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker: LPNs are capable of assisting with range of motion exercises and ambulation.
B. A 78-year-old patient newly admitted with anemia requiring a blood transfusion: Blood transfusions require close monitoring for reactions and complications, which are within the RN’s scope of practice. This patient requires a higher level of assessment and decision-making skills.
C. A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking: LPNs can assist with crutch walking education and reinforcement.
D. A 44-year-old patient admitted yesterday with pneumonia: LPNs can care for stable patients with pneumonia under the supervision of an RN. The patient's status should be stable or improved to be managed by an LPN.

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A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

Correct Answer is C

Explanation

Which client would be best assigned to an RN and not an LPN?

Correct Answer is B

Explanation

A nurse is preparing to administer Temazepam 15 mg PO at bedtime. The amount available is Temazepam 30 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A charge nurse is teaching a new nurse the importance of patient confidentiality in providing competent care. What professional standards would the charge nurse refer to in the teaching?

The medical surgical nurse works with the interdisciplinary team to provide care for a stroke patient. Which of the following team members will be required for referring a physical therapist?

A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

A nurse is teaching a client to administer insulin. The nurse should identify the following actions as part of the assessment step of the teaching plan?

A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

Prior to administration of an antihypertensive medication, the nurse notes the client's heart rate is 50. The nurse then determines the blood pressure medication should be held. Which part of the nursing process is being fulfilled?