A nurse is caring for a client who is dying. The client says, “My mother died in the hospital, but I did not get there before she died.” Which of the following statements should the nurse make?
I will tell your family of your concern so that they can be here.
We will call your family in time for them to get here.
I will make sure a staff member is in your room at all times.
I wonder if you are fearful of dying alone.
The Correct Answer is D
Choice A reason: Informing the family without addressing the client’s emotional concern misses the opportunity to explore their feelings. This response does not directly respond to the client’s expressed fear about their mother’s death.
Choice B reason: Promising to call the family in time assumes the client’s primary concern is family presence, which may not address the underlying fear of dying alone. It also risks making a promise that may not be feasible.
Choice C reason: Ensuring a staff member’s constant presence is supportive but does not directly address the client’s stated concern about their mother’s death or explore their emotional needs, making it less therapeutic.
Choice D reason: Acknowledging the client’s potential fear of dying alone directly addresses the emotional content of their statement. This therapeutic response encourages the client to express their fears, fostering emotional support and understanding.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Directly rejecting the belief is non-therapeutic and may increase defensiveness, damaging trust.
Choice B reason: Telling the client to stop worrying invalidates their feelings and dismisses the emotional impact of the delusion.
Choice C reason: Participating in the delusion by “looking for cameras” reinforces the false belief, which is not supportive of reality testing.
Choice D reason: Acknowledging the client’s fear while gently presenting reality and shifting toward problem-solving helps maintain trust and supports reality testing.
Correct Answer is C
Explanation
Choice A reason:Glutamate is the primary excitatory neurotransmitter in the brain, promoting neuronal activity. It is not typically targeted for its inhibitory effects in anxiety treatments, as excessive glutamate activity may contribute to heightened anxiety or overstimulation.
Choice B reason:Dopamine is involved in reward, motivation, and movement regulation. While imbalances in dopamine can play a role in some psychiatric conditions, it is not the primary neurotransmitter targeted for its inhibitory effects in anxiety disorders.
Choice C reason:Gamma-aminobutyric acid (GABA) is the main inhibitory neurotransmitter in the brain, helping to calm neuronal activity and reduce anxiety. Many anti-anxiety medications, such as benzodiazepines, enhance GABA’s effects to promote relaxation and reduce symptoms of anxiety.
Choice D reason:Norepinephrine is an excitatory neurotransmitter associated with the body’s stress response and arousal. Elevated levels are often linked to increased anxiety, so it is not targeted for inhibitory effects in anxiety treatments.
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