A nurse is caring for a client who states during a counseling session, "I am sliding off a cliff." Which of the following statements should the nurse make?
"I don't think that is really what is happening to you."
"Don't worry. Everything will be okay."
"How are things going at your job?"
"You must be feeling very frightened right now."
The Correct Answer is D
A. This statement dismisses the client's feelings.
B. Offering false reassurance is not therapeutic.
C. Changing the subject does not address the client's distress.
D. This is the correct answer. Acknowledging the client's feelings is a therapeutic response that encourages further discussion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lying down after meals increases reflux by allowing stomach contents to flow back into the esophagus.
B. High-fat foods delay gastric emptying, worsening heartburn.
C. Carbonated beverages may help neutralize stomach acid and provide symptom relief when sipped in moderation.
D. Hot herbal tea can relax the lower esophageal sphincter, exacerbating reflux.
Correct Answer is A
Explanation
A. Muscle twitching – Hypocalcemia (normal range: 8.5–10.5 mg/dL) causes neuromuscular excitability, leading to muscle twitching, tetany, and positive Chvostek's and Trousseau's signs.
B. Hypertension – Hypocalcemia does not cause hypertension; instead, it may lead to hypotension.
C. Bounding pulse – Hypocalcemia does not cause a bounding pulse; it may cause weak and irregular pulses.
D. Hypoactive bowel sounds – Hypocalcemia is more likely to cause hyperactive bowel sounds and diarrhea rather than hypoactive bowel sounds.
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