A nurse is caring for a client whose spouse recently died. The client is newly diagnosed with diabetes. The client is tearful during a diabetic teaching session with the nurse, and states "You can't possibly understand what I'm going through." Which of the following responses is the most therapeutic for the nurse make?
"I might not share your exact situation, but I do know what people go through when they deal with a loss."
"It takes a long time to get over the loss of a loved one".
"Why don't you try something to take your mind off your troubles?
"You are correct. Could you describe what you are feeling?"
The Correct Answer is D
D. This response validates the client's feelings without making assumptions, allows the client to share more about their experience, and fosters a supportive environment. It's important for healthcare professionals to create a space where clients feel heard and understood, especially during times of grief and new diagnoses, which can be overwhelming.
A. It acknowledges the client's feelings while also expressing the nurse's understanding of the grieving process. It reassures the client that they are not alone in their experiences, even if the nurse hasn't experienced the exact situation. However, telling the client that you know what they are going through may not make them feel understood.
B. While this response acknowledges the client's grief, it may come across as minimizing or dismissive of their current emotional distress related to their diabetes diagnosis. It focuses solely on the loss of the spouse and doesn't address the client's immediate concerns about managing their newly diagnosed condition. Therefore, it may not be the most therapeutic response in this situation.
C. This response might unintentionally invalidate the client's feelings by suggesting they should distract themselves from their grief and diabetes diagnosis. It could be perceived as dismissive or insensitive, as it doesn't address the client's emotional needs or offer support. Additionally, suggesting distraction may not be helpful or appropriate for someone experiencing significant emotional distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is crucial because informed consent is not just about signing a document; it's about ensuring that the client fully understands the procedure, including the risks, benefits, and alternatives. The physician can then re-evaluate the client's comprehension and provide further clarification if necessary. It is the responsibility of the healthcare team to ensure that the client is making an informed decision.
B. Explaining the procedure in simple terms may be part of the nurse's role, but it is essential that the physician is aware of any gaps in the client's understanding to address them appropriately.
C. Cancelling the surgery is not the immediate best action without first attempting to resolve the misunderstanding.
D. Witnessing the client's signature may be part of the nurse's role, but it is essential that the physician is aware of any gaps in the client's understanding to address them appropriately.
Correct Answer is B
Explanation
B. A PICC line is a long, flexible catheter inserted into a peripheral vein, typically in the upper arm, and advanced until the tip lies in the superior vena cava or the cavoatrial junction. PICC lines are suitable for long-term venous access and are often used for administering medications, including antibiotics, over several weeks or months. They offer stable and reliable access, reducing the need for frequent venipunctures.
A. Butterfly needles are typically used for short-term venous access, such as for blood draws or administering medications that do not require long-term therapy. They are not suitable for prolonged use or for administering medications over several weeks, as they are not designed for secure and stable access over an extended period.
C. A peripheral IV-lock, also known as a saline lock or heplock, is a short catheter inserted into a peripheral vein and then capped off for intermittent use. While peripheral IV-locks are suitable for short-term venous access, they are not ideal for prolonged therapy lasting several weeks. Additionally, they may not provide the necessary stability and reliability for administering IV antibiotics over an extended period.
D. A small gauge peripheral angiocath refers to a short catheter inserted into a peripheral vein for intravenous access. While a larger gauge catheter, such as a 16-gauge, may allow for faster infusion rates and is suitable for certain situations requiring rapid fluid administration, it may not be the most appropriate choice for long-term IV antibiotic therapy. The choice of gauge depends on factors such as the client's vein size, the viscosity of the medication, and the duration of therapy.
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