A nurse is caring for a client who has depressive disorder. The client states, "Everyone would be better off if I were not around." Which of the following responses should the nurse make?
When you get better you will not feel this way.
Why would you think a thing like that?
What would your family do without you?
Are you thinking of hurting yourself?
The Correct Answer is D
Are you thinking of hurting yourself?
When a client expresses thoughts of self-harm or suggests that others would be better off without them, it is essential for the nurse to assess for suicidal ideation and ensure the client's safety. Asking directly about thoughts of self-harm is an appropriate and crucial response in this situation.
When you get better you will not feel this way in (option A) is incorrect. This response minimizes the client's feelings and does not address the seriousness of the situation. It is important to assess the client's immediate safety before discussing long-term improvement.
Why would you think a thing like that? In (option B) is incorrect. This response may come across as judgmental or dismissive of the client's feelings. It is essential to provide a supportive and non- judgmental environment for the client to express their thoughts and concerns.
What would your family do without you? In (option C) is incorrect This response also minimizes the client's feelings and does not address the underlying issue. It is crucial to focus on the client's immediate safety and well-being rather than shifting the focus to the impact on others.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct answer: B
a. Lowering the side rails is unnecessary and could increase the risk of falling. The side rails should be raised and padded instead.
b.The nurse should observe and document the duration of the seizure. This information helps in assessing the severity and guiding further interventions
c.Restraining the client's arms and legs to prevent injury is not recommended during a seizure. Restraining a person during a seizure can increase the risk of injury and may impede their ability to move or protect themselves during the seizure.
d.Inserting an oral airway into the client's mouth is not indicated during a tonic-clonic seizure. It is generally not recommended to place any objects or devices into the mouth of a person having a seizure, as it can potentially cause injury to the person or damage to the airway
Correct Answer is C
Explanation
This response demonstrates a therapeutic and non-judgmental approach, allowing the client to express their concerns, fears, or reasons for refusing to learn how to self-administer insulin. It promotes open communication and understanding between the nurse and the client, providing an opportunity to address any misconceptions, fears, or barriers the client may have. By actively listening to the client's perspective, the nurse can better tailor the education and support provided, ultimately helping the client make informed decisions regarding their healthcare.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today