A client's spouse has just learned of the client's terminal illness. The spouse is sitting in the corner of the client's room crying, and says to the nurse, "I feel as if I'm already so alone." Which action should the nurse take first?

Explain that alternative treatment options may be helpful.

Remind the spouse that the client may still live a long time.

Offer reassurance that the spouse is not alone.

Encourage the spouse to share their feelings.

Answer and Explanation

The Correct Answer is C

C. The first action the nurse should take is to offer reassurance to the spouse that they are not alone. This statement acknowledges the spouse's emotional distress and provides comfort and support during a difficult time. It also validates the spouse's feelings of loneliness and acknowledges the importance of their presence and support for the client.

A and B focus on the client's illness or prognosis, which may not be the immediate concern for the spouse at this moment.

D, while valuable, may come after the initial reassurance to create a supportive environment for the spouse to share their feelings when they feel ready.

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Correct Answer is D

Explanation

D. Hinge joints are primarily involved in flexion and extension movements. In the case of the arm, the elbow joint is a hinge joint, and bending the arm by flexing the ulna (forearm bone) toward the humerus (upper arm bone) is an example of a movement that exercises this type of joint.

A. This action primarily involves the cervical (neck) spine and the atlantoaxial joint, allowing rotation of the head from side to side. However, these are not hinge joints

B. This action involves movements of the shoulder joint, which is a ball-and-socket joint allowing for a wide range of motion.

C. Tilting the pelvis forwards and backwards primarily involves movements of the hip joint, which is also a ball-and-socket joint.

A. Take an afternoon nap to make up for missed sleep. B. Avoid drinking caffeinated beverages late in the day. C. Establish a regular time for going to bed and getting up. D. Ask the healthcare provider for a mild sedative for bedtime. E. Drink a mixture of warm water, whiskey, and honey at bedtime.

Correct Answer is ["B","C"]

Explanation

B. Caffeine can interfere with sleep, especially if consumed close to bedtime. Opt for decaffeinated options in the evening. Avoiding caffeinated beverages late in the day can help promote better sleep by reducing the stimulant effects of caffeine, which can interfere with falling asleep or staying asleep.

C. Establish a regular time for going to bed and getting up. Consistency helps regulate your

body’s internal clock. Try to maintain the same sleep schedule even on weekends.

A. Taking an afternoon nap to make up for missed sleep is not recommended, as napping during the day can disrupt nighttime sleep patterns and make it harder to fall asleep or stay asleep at night, especially for older adults.

D. Asking the healthcare provider for a mild sedative for bedtime may not be the first-line recommendation, as sedatives can have side effects and potential risks, especially for older adults. Non-pharmacological interventions are typically preferred for improving sleep quality.

E. Alcohol consumption before bedtime can disrupt sleep patterns and interfere with restorative sleep, particularly when combined with other substances like caffeine or sugar.

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A client's spouse has just learned of the client's terminal illness. The spouse is sitting in the corner of the client's room crying, and says to the nurse, "I feel as if I'm already so alone." Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?

Correct Answer is D

Explanation

An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. Which action(s) should the nurse suggest to the client to help improve sleep? Select all that apply.

Correct Answer is ["B","C"]

Explanation

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