A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?
“I’d like to hear your thoughts about giving yourself this medication.”
"You will suffer serious health issues if you don't take your medication."
"Why don't you want to learn how to give yourself your medication?"
“Have you considered how your decision to refuse medication will affect your family?"
The Correct Answer is A
A. “I’d like to hear your thoughts about giving yourself this medication.”: This response uses open-ended, therapeutic communication that invites the client to express concerns, fears, or misconceptions. It demonstrates respect for autonomy and helps build trust while allowing the nurse to assess readiness to learn. Understanding the client’s perspective is essential before providing education or problem-solving.
B. “You will suffer serious health issues if you don't take your medication.”: This response uses fear and threats, which can increase anxiety and resistance rather than promote cooperation. It does not encourage dialogue or address the client’s underlying concerns.
C. “Why don't you want to learn how to give yourself your medication?”: Questions beginning with “why” can feel accusatory or judgmental, causing the client to become defensive. Although the nurse needs to understand the client’s reluctance, this phrasing may inhibit open communication. A more neutral approach is preferred.
D. “Have you considered how your decision to refuse medication will affect your family?”: This response applies guilt and shifts the focus away from the client’s feelings and autonomy. It does not promote therapeutic communication or support informed decision-making. Using guilt can undermine trust and collaboration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Copy of the client's advance directives: Advance directives are part of the client’s legal and medical record but are not included in postmortem documentation. Postmortem charting focuses on care provided after death and body identification rather than prior treatment preferences.
B. Cause of the client's death: Determining and documenting the cause of death is the responsibility of the provider, not the nurse. The nurse may document the time death was pronounced and by whom, but listing the cause exceeds the nursing scope of documentation.
C. Location of the identification tag on the client's body: Proper identification is a critical component of postmortem care to ensure correct body handling and prevent errors. Documenting the placement of identification tags supports legal requirements and continuity of care through the morgue and funeral services.
D. Last set of the client's vital signs: Vital signs are not obtained or documented after death has occurred. Postmortem documentation focuses on confirmation of death, care of the body, and disposition rather than physiological measurements.
Correct Answer is D
Explanation
A. “I am so relieved the baby looks like my mother.”: Feeling relief or comfort when noticing family resemblance in the newborn is a common emotional response. It generally reflects normal adjustment and bonding with the baby and does not indicate emotional distress requiring further evaluation.
B. “My appetite has really increased.”: Increased appetite postpartum can be a normal physiological response, especially with breastfeeding, as the body requires additional calories. It does not usually indicate a mental health concern or a need for further evaluation.
C. “My labor was so long. I'm glad it's over.”: Expressing relief or fatigue after a prolonged labor is a typical postpartum response. It shows processing of the birth experience and adjustment to recovery and newborn care, which does not warrant immediate concern.
D. “I really wish I had a girl instead.”: Expressing regret or disappointment regarding the baby’s sex may indicate difficulty bonding, gender preference stress, or emerging postpartum mood disturbances. This statement warrants further assessment for postpartum depression, anxiety, or adjustment issues to ensure maternal-infant wellbeing.
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