A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?
"I can give you information about respite care if you are interested."
"I am sure you're doing a great job taking care of your mother."
"You should consider taking a sleeping pill before bed each night."
"It is always difficult caring for someone who is terminally ill."
The Correct Answer is A
A. Offering information about respite care is a helpful and practical response. Respite care provides temporary relief for caregivers, allowing them to rest and recharge.
B. While it's important to acknowledge the son's efforts, this statement doesn't address the need for rest or offer solutions.
C. Suggesting sleeping pills without further assessment is not appropriate and may not address the root cause of the son's sleep deprivation.
D. While caring for a terminally ill person is challenging, this statement does not offer the support or solution the son needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Maintaining eye contact may be overstimulating for the newborn and could contribute to further irritability.
B. Minimizing noise and environmental stimuli helps reduce the stress the newborn is experiencing and promotes a calmer environment.
C. Swaddling the newborn with legs extended may cause discomfort, as newborns with NAS often prefer a flexed position.
D. Naloxone is not routinely administered for NAS unless the newborn is experiencing life-threatening withdrawal symptoms.
Correct Answer is B
Explanation
A. Engaging the panic alarm should only be done if there is an immediate threat of violence.
B. Acknowledging the client's feelings is an appropriate de-escalation technique that shows empathy and may help calm the situation.
C. A face shield and mask are not routinely necessary unless there is a risk of bodily fluids.
D. Seclusion should be considered only when the client poses a significant threat to themselves or others.
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