A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?
"If you do not like your medications, would you like to try an alternative?"
"Would you like to speak to a therapist after treatment?"
"You would like more information. I will get that for you right away."
"You feel like you have no remaining options and are struggling to find a solution."
The Correct Answer is D
D. This response reflects empathy and validates the client's feelings of hopelessness. It acknowledges the client's emotional state and demonstrates active listening. By reflecting back the client's words, the nurse conveys understanding and creates an opportunity for further exploration of the client's feelings and concerns.
A. While addressing medication concerns is important, this response may not fully acknowledge the client's feelings of hopelessness and may come across as dismissive of their emotional distress.
B. This response offers the client an opportunity to speak with a therapist, which can be beneficial for addressing emotional distress and exploring coping strategies. However, it does not directly acknowledge the client's current feelings of hopelessness
C. This response does not address the client's feelings of hopelessness and may not effectively validate their emotional experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Calling the poison control center is the immediate and most important action to take in cases of potential poisoning or chemical exposure. Poison control centers have trained professionals who can provide immediate guidance on how to assess the situation, provide first aid if necessary, and determine if further medical evaluation or treatment is needed.
A. While assessing the parent's understanding of emergency measures is important, it may not be the first action to take in this situation.
B. Providing information about the risks of chemical exposure can be helpful for prevention, but it may not be the first action to take when there is uncertainty about whether the child has ingested a harmful substance.
D. While securing cleaning supplies to prevent future incidents is important, it is not the first action to take when there is concern about a potential ingestion.
Correct Answer is B
Explanation
B. Panic-level anxiety is characterized by intense and overwhelming feelings of fear and apprehension. Physical symptoms often accompany this level of anxiety, and shakiness or tremors are common manifestations. The individual may experience trembling or shaking of the hands, voice, or other parts of the body due to heightened physiological arousal.
A. Voice tremors can occur in individuals experiencing anxiety, particularly when they are feeling highly stressed or nervous. However, shakiness or trembling in the body is more characteristic of panic level anxiety.
C. Depersonalization involves feelings of detachment from oneself or one's surroundings, as if observing oneself from outside the body or feeling disconnected from reality.
D Poor concentration or difficulty focusing can occur in individuals experiencing anxiety, including panic level anxiety. However, it is more of a cognitive symptom rather than a physical manifestation such as shakiness or tremors.
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