A community health nurse is developing a brochure about hypertension.
Which of the following actions is the bestfor the nurse to take?

Choice A rationale:

The nurse should inform the client that they will need periodic TB skin tests to monitor for any reactivation of the infection. This is important for assessing the client's response to treatment and ensuring early detection of any recurrence.

Choice B rationale:

Medications for tuberculosis can cause various side effects, but turning urine a blue-green color is not a common side effect associated with these medications. Providing accurate information about potential side effects is important for informed decision-making, but this statement is not accurate.

Choice C rationale:

The correct response is to inform the client that they are no longer contagious when they have negative sputum cultures. This is an important point to emphasize as it ensures that the client understands when it is safe to be around others without the risk of transmitting the infection.

Choice D rationale:

Telling the client that they will take medication for the rest of their life is incorrect and not appropriate for active pulmonary tuberculosis. Tuberculosis treatment typically involves a combination of medications taken for a specified duration, usually several months, until the infection is effectively treated.

Choice A rationale:

Asking, "What makes you think the staff is following you?" is a confrontational approach and may not be helpful in building rapport or addressing the client's paranoid beliefs. It can come across as dismissive and may exacerbate the client's anxiety.

Choice B rationale:

Telling the client, "The psychiatric staff is not FBI. They are here to help you," is a straightforward response but may not effectively address the client's concerns or build rapport. It does not acknowledge the client's feelings and may not be well-received.

Choice C rationale:

Asking, "Why do you feel the staff is the FBI?" is a more open-ended and therapeutic approach. It encourages the client to express their thoughts and feelings, providing an opportunity for the nurse to better understand the client's perspective.

Choice D rationale:

Saying, "This must be very frightening for you. Let's talk more about it," is the most empathetic and client-centered response. It acknowledges the client's emotions and offers support. It also opens the door for further discussion and therapeutic communication, allowing the nurse to explore the client's fears and concerns in a non-confrontational manner.