A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse, "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?
"You are making progress in your treatment plan."
"You should call your partner to discuss this."
"It must be very frustrating for you to be here."
"It would be best to discuss your feelings with your provider."
The Correct Answer is C
A. "You are making progress in your treatment plan." While this response provides positive reinforcement, it doesn't address the client's feelings of frustration or desire to go home, potentially invalidating their emotions.
B. "You should call your partner to discuss this." Suggesting that the client call their partner shifts the focus away from their feelings and may not provide the immediate emotional support they need.
C. "It must be very frustrating for you to be here." This response acknowledges the client's feelings and validates their frustration. It opens the door for further discussion about their emotions, helping the client feel heard and understood.
D. "It would be best to discuss your feelings with your provider." This response may dismiss the client's current feelings by directing them away from the nurse, who is present and capable of providing support. It is important to validate the client's feelings first.
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Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Touch the client gently to announce presence: Gently touching the client’s arm or shoulder can help orient them to your presence and is a considerate way to communicate, especially when they have vision loss.
B. Ensure there is high-wattage lighting in the client's room: While good lighting is important, high-wattage lighting can create glare, which may be uncomfortable or disorienting for clients with vision loss. Instead, softer, diffused lighting is often more effective.
C. Keep objects in the client's room in the same place: Maintaining a consistent layout in the client’s environment helps them navigate safely and independently. It minimizes confusion and reduces the risk of accidents.
D. Approach the client from the side: Approaching from the front is typically better for clients with vision loss, as it allows them to see you (if they have some vision) and helps them feel less startled.
E. Allow extra time for the client to perform tasks: Providing extra time respects the client's pace and fosters independence. It acknowledges the challenges they may face due to vision loss, allowing them to complete tasks without feeling rushed.
Correct Answer is A,B,C,D
Explanation
To delegate tasks to assistive personnel (APs) effectively, the nurse should follow this sequence:
- A. Review the skill level and qualifications of each AP.
- B. Communicate appropriate tasks to the APs with specific expectations.
- C. Monitor progress of task completion with each AP.
- D. Evaluate the APs' performance of each task.
This order ensures that the nurse first assesses the abilities of the APs, then clearly communicates tasks, monitors their progress, and finally evaluates their performance.
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