A client states, "My life has no meaning right now." Which of the following responses should the nurse make?
Have you been thinking about harming yourself?
How long have you been feeling this way?
Tell me what is going on with you right now.
Do you really think your life has no purpose?
The Correct Answer is C
Choice A reason: Asking the client if they have been thinking about harming themselves is not the best response, as it may sound accusatory or judgmental. It may also make the client defensive or reluctant to share their feelings. The nurse should assess the client's suicide risk later, after establishing rapport and trust.
Choice B reason: Asking the client how long they have been feeling this way is not the most appropriate response, as it may imply that the nurse is more interested in the duration of the problem than the client's current situation. It may also suggest that the nurse expects the client to have a clear timeline of their feelings, which may not be the case.
Choice C reason: Telling the client to share what is going on with them right now is the best response, as it shows empathy and genuine interest in the client's perspective. It also invites the client to express their thoughts and emotions, and helps the nurse identify the factors that contribute to the client's sense of meaninglessness.
Choice D reason: Asking the client if they really think their life has no purpose is not a helpful response, as it may sound dismissive or sarcastic. It may also make the client feel invalidated or misunderstood, and reinforce their negative beliefs. The nurse should avoid challenging the client's statements, and instead explore the reasons behind them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The vaccine is not the host, as it is not a living organism that can be infected by the virus. The vaccine is a preventive measure that can reduce the risk of contracting mumps by stimulating the immune system to produce antibodies against the virus.
Choice B reason: The virus is not the host, as it is the agent that causes the disease. The virus is a microscopic particle that can only replicate inside the cells of a living host.
Choice C reason: The school is not the host, as it is the environment that facilitates the transmission of the virus. The school is a place where many children gather and interact, which increases the exposure and contact with the virus.
Choice D reason: The children are the host, as they are the living organisms that can be infected by the virus. The children are susceptible to the virus because they may not have been vaccinated or have not developed immunity from previous exposure. The children can also spread the virus to others through respiratory droplets or saliva.
Correct Answer is C
Explanation
Choice A reason: Having the client's daughter communicate information about the procedure is not an action that the nurse should take. The daughter may not be a reliable or accurate interpreter, as she may have limited language skills, lack medical knowledge, or be influenced by her emotions or biases. The nurse should use a qualified interpreter who can ensure the confidentiality, accuracy, and completeness of the communication.
Choice B reason: Arranging for a member of the client's community to interpret the teaching is not an action that the nurse should take. The member of the client's community may not be a qualified or impartial interpreter, as he or she may have a personal or professional relationship with the client, or may have a conflict of interest or a hidden agenda. The nurse should use a professional interpreter who can maintain the boundaries, objectivity, and neutrality of the communication.
Choice C reason: Identifying the client's spoken dialect prior to contacting an interpreter is an action that the nurse should take. This will help the nurse to find an appropriate interpreter who can communicate effectively and respectfully with the client. The nurse should also consider the client's cultural background, preferences, and needs when selecting an interpreter.
Choice D reason: Using professional terminology when providing education prior to the procedure is not an action that the nurse should take. The nurse should use simple and clear language that the client can understand, and avoid using jargon, slang, or idioms that may confuse or offend the client. The nurse should also check the client's comprehension and ask for feedback throughout the communication.
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