A nurse is assessing a client whose partner recently died. The client states, "I don't know what to do without my partner. Life is just not worth living." Which of the following responses should the nurse make?

"You seem to be having a difficult time right now!"

"It's natural for you to feel this way now, but things will get better with time."

"You'd be surprised how many people experience these feelings."

"Why do you feel like your life isn't worth living?"

Answer and Explanation

The Correct Answer is A

A. This response validates the client's feelings and opens the door for further conversation without judgment, encouraging the client to express more of their thoughts.

B. While this statement acknowledges the client's feelings, it may seem dismissive or minimize the depth of the client's distress.

C. Telling the client that many people experience similar feelings can invalidate the uniqueness of their grief and may discourage them from sharing more.

D. Asking "Why" may sound accusatory and could make the client feel defensive or misunderstood.

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Correct Answer is B

Explanation

A. Sitting with their head in their hands and appearing to cry indicates emotional distress rather than aggression or potential violence.

B. Pacing is often a sign of agitation or anxiety and can be indicative of a potential escalation to violence, especially in individuals with a history of aggressive behavior.

C. While expressing discontent with staff may show frustration, it does not directly indicate imminent violence.

D. Taking numerous, deep breaths may suggest the client is attempting to calm themselves and is not a reliable indicator of potential aggression.

A. Select a quiet location to talk to the client while remaining visible to staff members. B. Give the client several clear options. C. Observe the client and the situation. D. Respect the client's personal space.

Correct Answer is C

Explanation

A. Selecting a quiet location is important, but first, it is essential to assess the client's current state and the surrounding environment.

B. Providing options can help empower the client, but it is best to first observe the client to gauge their level of agitation and determine the appropriate response.

C. Observing the client and the situation allows the nurse to understand the severity of the agitation and the context, which is critical for making informed decisions about the next steps.

D. Respecting personal space is important, but it should follow an assessment of the situation to ensure safety for both the client and staff.

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A nurse is assessing a client whose partner recently died. The client states, "I don't know what to do without my partner. Life is just not worth living." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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