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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:A close friend can offer emotional support, but they may lack the training to address the complex medical, legal, and psychological needs of a sexual assault survivor in the immediate aftermath.
Choice B reason:A chaplain can provide spiritual support, which may be helpful for some clients. However, immediate needs like medical care, evidence collection, and crisis intervention require specialized expertise.
Choice C reason:A social worker is trained to provide crisis intervention, coordinate medical and legal resources, and offer emotional support tailored to trauma survivors. They are the most effective resource immediately following a sexual assault to address comprehensive needs.
Choice D reason:A psychologist can provide long-term mental health support, but immediate post-assault care prioritizes crisis intervention, medical evaluation, and legal coordination, which are better handled by a social worker.
Correct Answer is B
Explanation
Choice A reason:Placing a client in a seclusion room is not appropriate unless they pose an immediate safety risk to themselves or others. Seclusion can increase agitation in a manic client and is not a standard room assignment for managing mania.
Choice B reason:A private room close to the nursing station allows for close monitoring of the client’s behavior, which is critical during the manic phase due to impulsivity and high energy. This setup ensures safety while providing a controlled environment without unnecessary isolation.
Choice C reason:A private room in a quiet location may reduce stimulation, which is beneficial, but it may limit the ability to closely monitor the client. Proximity to the nursing station is preferred to ensure rapid intervention if needed.
Choice D reason:A semi-private room with a roommate who has a similar diagnosis could lead to overstimulation or conflict, as two manic clients may exacerbate each other’s symptoms. A private room is more appropriate for managing mania.
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