A nurse is caring for a client who is visibly upset and tearful about a recent terminal diagnosis. Which of the following responses should the nurse make?
"I'm going to contact your family so they can be with you."
"I will stay with you for a while."
"I'm sorry you have to deal with this."
"When you feel better, we'll talk about your treatment options."
The Correct Answer is B
A. "I'm going to contact your family so they can be with you.": While involving family is important, the nurse should first provide emotional support to the client. It may feel abrupt to the client if the nurse immediately redirects the focus to others without acknowledging the client's current emotional state.
B. "I will stay with you for a while.": This is correct. Offering presence and emotional support by staying with the client is an appropriate response. It shows empathy and provides the client with comfort in a time of emotional distress.
C. "I'm sorry you have to deal with this.": This is less supportive. While it acknowledges the difficulty of the situation, it could unintentionally invalidate the client’s feelings by focusing on the nurse’s perspective rather than the client's experience.
D. "When you feel better, we'll talk about your treatment options.": This is not an appropriate response. It minimizes the client’s current emotional needs and may make the client feel that their feelings are not being prioritized. The focus should be on emotional support first.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An entry on a nursing blog addressing wound healing: Nursing blogs can offer personal perspectives and experiences but may not always be evidence-based. The information can vary in quality and credibility.
B. A peer-reviewed journal article: This is correct. Peer-reviewed journal articles are the gold standard for evidence-based information because they have been evaluated by experts in the field and provide scientifically validated information.
C. First-hand experience with wound care products: While first-hand experience can be valuable, it is subjective and may not reflect the most current or broad evidence-based practices. It should be supplemented with research.
D. Information from a wound care product vendor: Although vendors may offer useful product-specific details, their information is often biased toward their own products and may not provide the most objective, evidence-based information available.
Correct Answer is C
Explanation
A. Eating turkey sausage for breakfast is incorrect. Processed meats, including turkey sausage, are high in sodium and should be avoided in a low-sodium diet. Even "healthier" alternatives can contain significant amounts of added salt.
B. Putting ketchup on hot dogs is incorrect. Ketchup and hot dogs are both high in sodium, making them poor choices for a client managing hypertension.
C. Using frozen vegetables rather than canned is correct. Canned vegetables often contain added sodium for preservation, while frozen vegetables typically have little to no added salt, making them a healthier option.
D. Using store-bought spaghetti sauce is incorrect. Many commercial pasta sauces contain high levels of sodium, which can contribute to increased blood pressure. A low-sodium alternative, such as homemade sauce with fresh ingredients, would be a better choice.
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