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 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.

A. A client who has dysphagia B. A client who asks about community resources C. A client who has terminal cancer and requests hospice at home D. A client who wants a priest to visit while they are in the hospital

Correct Answer is A

Explanation

A. A client who has dysphagia: Dysphagia, or difficulty swallowing, is within the scope of practice for speech therapists. They are trained to assess and treat swallowing disorders to ensure safe and effective eating and drinking.
B. A client who asks about community resources: A social worker or case manager would be more appropriate for addressing questions about community resources.
C. A client who has terminal cancer and requests hospice at home: This client should be referred to a hospice care coordinator, not a speech therapist.
D. A client who wants a priest to visit while they are in the hospital: This need should be addressed by the hospital's chaplain service or spiritual care department.

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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

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

The nurse can safely assign which task to an unlicensed assistive personnel (UAP) for a patient who is stable after a myocardial infarction?

The nurse is preparing a teaching plan for a client who is learning how to care for their colostomy. The nurse should identify the following actions as part of the assessment step in the teaching plan.

A nurse at the clinic is teaching a client with diabetes the importance of monitoring their blood sugar. The nurse is implementing what level of preventative care?

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?

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

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the S step?