A nurse is caring for a client who is obese. The client is crying and states, "Everyone is staring at me because of my weight." Which of the following responses should the nurse make?
"Let's discuss some weight loss strategies that might work for you."
Have you always felt uncomfortable being overweight?"
"How long have you struggled with your weight?"
“It sounds like you're saying that you feel uncomfortable around others."
The Correct Answer is D
Rationale:
A. "Let's discuss some weight loss strategies that might work for you.": While well-intentioned, this response shifts focus prematurely to problem-solving rather than acknowledging the client's immediate emotional distress. It can come across as dismissive of the client's feelings and reinforce stigma.
B. "Have you always felt uncomfortable being overweight?": This question delves into the client's history without first validating their current emotional state. It may seem intrusive and bypasses the opportunity to provide empathy in the moment.
C. "How long have you struggled with your weight?": This response centers on the weight issue rather than addressing the client’s expressed feelings of being stared at and judged. It risks making the client feel pathologized rather than supported.
D. “It sounds like you're saying that you feel uncomfortable around others.”: This therapeutic response reflects the client's feelings, validates their emotional experience, and encourages further expression. It helps build trust and demonstrates empathy without judgment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Apply the largest cuff available: Using a cuff that is too large for the client can yield inaccurately low readings. Cuff size should match the client’s arm circumference, not be chosen randomly or for convenience.
B. Use the palpatory method to determine blood pressure: When auscultation is difficult, the palpatory method helps estimate the systolic pressure by palpating the radial pulse. This guides proper cuff inflation and avoids missing the auscultatory gap.
C. Place the arm above the level of the client's heart: Elevating the arm above heart level can result in falsely low readings. The arm should be supported at heart level to obtain accurate results.
D. Deflate the cuff quickly: Rapid deflation can cause the nurse to miss key Korotkoff sounds, leading to an inaccurate measurement. Cuff deflation should be slow and controlled (2–3 mm Hg/sec).
Correct Answer is ["C","D"]
Explanation
Rationale:
A. Remove the thermometer from the client’s room for use on another client: Equipment used for clients with C. difficile should be dedicated or properly disinfected before reuse. Removing and using the same thermometer on other clients without disinfection increases the risk of cross-contamination.
B. Wash hands with an alcohol-based cleaner: Alcohol-based hand sanitizers are ineffective against C. difficile spores. Handwashing with soap and water is required to physically remove the spores from the hands.
C. Change gloves after contact with infectious material: Gloves must be changed between tasks and after contact with infectious material to prevent spread. This is standard contact precaution practice for C. difficile infections.
D. Wear a gown when providing care: A gown should be worn during any direct care or activities likely to involve contact with the client or contaminated surfaces, as C. difficile is transmitted via the fecal-oral route and can persist on surfaces.
E. Wear an N95 respirator when providing care: An N95 respirator is not required for C. difficile, which is transmitted through contact, not airborne routes. Standard and contact precautions, not airborne, are appropriate.
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