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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assessment: The Assessment section includes the nurse's findings and interpretations of the client's current condition. Information specific to sleep apnea would more likely be part of the client's history and not a direct assessment finding at this time.
B. Background: The Background section includes relevant background information that could impact the client’s current situation. This would be the appropriate section to include the client's history of sleep apnea.
C. Situation: The Situation section focuses on the current issue or reason for the communication. While it should be concise, it does not include detailed past medical history unless directly relevant to the current situation.
D. Recommendation: The Recommendation section is where the nurse suggests the next steps or interventions needed. Information about sleep apnea is not a recommendation but part of the client's background.
Correct Answer is ["B","C","E"]
Explanation
A. Administering blood to a client. Administering blood typically requires an RN due to the need for close monitoring and potential complications.
B. Re-enforces teaching to a diabetic client. LPNs can reinforce teaching that was initially provided by an RN.
C. Administering medications to the RN's other clients. LPNs are qualified to administer medications.
D. Completing an initial assessment on a new admission. Initial assessments must be completed by an RN
E. Changing a sterile dressing on a client. LPNs can perform sterile dressing changes.
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