A nurse is caring for a patient who has dementia due to Alzheimer's disease and was admitted to a long-term care facility following the death of her partner of 40 years. The patient states, "I want to go home; my husband is waiting for me to cook dinner." Which of the following responses by the nurse is appropriate?
"This is where you live now."
"This is a safer place for you to live."
"Your family said there is no one to care for you at home."
"Tell me what you like to cook for dinner."
The Correct Answer is D
A. Stating "this is where you live now" may cause frustration.
B. Telling the patient it is safer does not acknowledge their emotions.
C. Mentioning family decisions may increase anxiety.
D. This approach validates the patient’s feelings and redirects the conversation without causing distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Labeling the mother as "overprotective" is dismissive and non-therapeutic.
B. This response uses therapeutic communication to explore the mother’s concerns without judgment, allowing for education and support.
C. Suggesting home-schooling may reinforce unnecessary restrictions and does not address the concern.
D. Agreeing outright does not help the mother understand that physical activity can be managed safely.
Correct Answer is B
Explanation
A. Allergic – An allergic reaction typically presents with itching, rash, and wheezing rather than fever, chills, and hematuria.
B. Hemolytic – Correct Answer. A hemolytic reaction occurs when the immune system attacks transfused red blood cells due to incompatibility. Symptoms include fever, chills, hypotension, back pain, and hematuria (red-tinged urine). This is a medical emergency requiring immediate intervention.
C. Acute pain – Acute pain transfusion reaction is rare and mainly presents with severe chest, back, and joint pain, without fever or hematuria.
D. Febrile – Febrile reactions cause fever and chills but do not typically cause hematuria, which is indicative of hemolysis.
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