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?
"How long have you struggled with your weight?"
"Let's discuss some weight loss strategies that might work for you."
"It sounds like you're saying that you feel uncomfortable around others."
"Have you always felt uncomfortable being overweight?"
The Correct Answer is C
A. "How long have you struggled with your weight?" While this may provide background information, it shifts the focus to the client's weight history rather than validating their current emotional experience and distress.
B. "Let's discuss some weight loss strategies that might work for you." This response prematurely shifts to problem-solving and weight management without first addressing the client’s emotional needs or acknowledging their feelings of embarrassment and vulnerability.
C. "It sounds like you're saying that you feel uncomfortable around others." This is a therapeutic, reflective response that validates the client’s feelings and encourages them to express more about their emotional experience, fostering trust and emotional support.
D. "Have you always felt uncomfortable being overweight?" This question may come across as judgmental and focuses too much on the client's body image history rather than their current emotional experience, potentially worsening feelings of shame.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weak femoral pulses. Coarctation of the aorta is a congenital narrowing of the aorta, which leads to reduced blood flow to the lower extremities, resulting in weak or absent femoral pulses—a hallmark finding of this condition.
B. Increased intracranial pressure. This is not directly associated with coarctation of the aorta. While severe hypertension can lead to neurologic symptoms, increased ICP is not a typical or early finding.
C. Upper extremity hypotension. The condition causes hypertension in the upper extremities and hypotension in the lower extremities due to the location of the narrowing. Upper extremity hypotension would be an unexpected finding.
D. Frequent nosebleeds. While nosebleeds may occur in older children or adults with uncontrolled hypertension, they are not an expected finding in infants with coarctation of the aorta.
Correct Answer is C
Explanation
A. Hyperthyroidism. This condition is not a contraindication to the use of combination oral contraceptives. Women with hyperthyroidism can generally use hormonal contraceptives safely under medical supervision.
B. Hypocalcemia. Low calcium levels are not linked to increased risk with combination oral contraceptives and do not contraindicate their use.
C. Thrombophlebitis. This condition involves inflammation and clot formation in the veins, and is a major contraindication to combination oral contraceptives. These medications increase the risk of blood clots, making them unsafe for clients with current or prior thromboembolic disorders.
D. Diverticulosis. This gastrointestinal condition is not affected by hormone levels and is not a contraindication to combination oral contraceptive use.
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