A client states that she is returning to school next semester and has some concerns. Which of the following is the most therapeutic response by the nurse?
“I think that is a wonderful idea.”
“Your parents will be so proud.”
“Can you afford that?”
“Tell me more about your plan.”
The Correct Answer is D
This response encourages the client to share her thoughts and concerns about returning to school, which can help the nurse to understand the client's perspective and provide support and guidance as needed. It also shows that the nurse is actively listening and interested in what the client has to say, which can help to build trust and rapport in the therapeutic relationship.
Responses a and b are positive but not necessarily helpful in addressing the client's concerns.
Response c is potentially intrusive and could make the client feel uncomfortable or judged.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.
This nursing intervention constitutes false imprisonment because it involves unlawfully restraining the client against their will. In this case, the nurse is using the threat of seclusion to coerce the client into staying in their room, which could be considered unlawful restraint.
Correct Answer is C
Explanation
The client is experiencing fear and anxiety while awaiting the biopsy report, which is a common reaction.
Response a, “Worrying is not going to help the situation," may come across as dismissive or insensitive, and may make the client feel like their emotions are not valid.
Response b, “Let’s wait until we hear what the biopsy report says," may be appropriate in some situations, but it does not acknowledge the client's emotions or offer any support.
Response d, “Operations are not performed unless there are no other options,” is not a relevant response to the client's fear of a cancer diagnosis.
The most appropriate response, option c, acknowledges the client's feelings and offers support, which can help the client feel heard and validated. The nurse can also offer additional support by providing information on coping mechanisms or resources available to the client to help them manage their anxiety while they wait for the results.
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