A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?

"How has this impacted your life?"

"Are you okay with not being able to do some things you used to do?"

"Is anyone available to assist you with your hygiene?"

“Why do you think this has happened?"

Answer and Explanation

The Correct Answer is A

A.   This question assesses the client's perception of the impact of the stroke on their life, providing insight into their coping abilities and emotional response.

B.   This question addresses acceptance but may not fully assess the client's coping strategies or emotional response to the stroke.
C.   This question addresses practical assistance with hygiene tasks but does not directly assess coping mechanisms.
D.   This question focuses on the cause of the stroke rather than the client's coping abilities or emotional response.

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Correct Answer is D

Explanation

A. Weighing the client every other day may contribute to increased anxiety and fixation on weight, which is not recommended for clients with binge eating disorder.
B. Remaining with the client for 1 hour after meals may not be feasible or practical and may not directly address the underlying issues associated with binge eating disorder.
C. Offering snacks when the client is hungry may not address the underlying psychological issues driving binge eating behavior and may inadvertently reinforce unhealthy eating patterns.

D. Planning a menu with the client promotes collaboration, empowers the client to make healthier food choices, and fosters a sense of control over their eating habits, which are important aspects of managing binge eating disorder.

A. Tell the client he cannot refuse the treatment because he was involuntarily committed. B. Ask the client's family to encourage the client to receive ECT. C. Document the client's refusal of the treatment in the medical record. D. Inform the client that ECT does not require client consent.

Correct Answer is C

Explanation

A. Coercing the client into treatment violates the client's autonomy and rights. Involuntary commitment does not mean the client loses the right to refuse treatment.
B. Involving the client's family without their consent or participation in decision-making may not be appropriate and could breach confidentiality.
C. Documenting the client's refusal of treatment ensures that the decision is appropriately recorded in the medical record and facilitates communication among the healthcare team members. It also protects the client's autonomy and legal rights.
D. Informing the client that ECT does not require consent is incorrect. While laws regarding involuntary treatment vary by jurisdiction, clients generally have the right to refuse treatment, even if they are involuntarily committed.

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A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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