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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

D. In the immediate aftermath of a sexual assault, the primary focus of the SANE nurse is to ensure the safety and well-being of the client. This includes providing a safe and supportive environment for the client, assessing and treating any physical injuries, addressing immediate medical needs, and offering emotional support and crisis intervention.

A, B, and C involve aspects of legal procedures and involvement of law enforcement, but they may not be appropriate or feasible for every client in every situation. Additionally, the decision to involve law enforcement or pursue legal action should be made in collaboration with the client and should prioritize their safety, autonomy, and well-being.

A. Update client charts to reflect socioeconomic status. B. Reinforce the importance of recognizing discrimination in vulnerable populations with staff. C. Compile a list of resources available in the community. D. Provide low-cost medications.

Correct Answer is B

Explanation

B. By reinforcing the importance of recognizing discrimination in vulnerable populations with staff, healthcare organizations can promote awareness, sensitivity, and understanding among healthcare providers.

A. Updating client charts to reflect socioeconomic status may be important for understanding the social determinants of health but does not directly address healthcare disparities among vulnerable groups.

C. Compiling a list of resources does not directly translate to availability of the resources to all members of the community.

D. Addressing healthcare disparities among vulnerable groups often requires a more comprehensive approach that considers factors beyond medication affordability.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing a presentation about strategies to decrease health care disparities among vulnerable groups. Which of the following strategies should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?

A nurse is planning care for clients who are members of vulnerable populations. Which of the following core function assurance actions should the nurse take first?

A nurse is presenting an in-service about the cycle of violence to nursing staff. The nurse should include that which of the following occurs during phase 1 of the cycle of violence?

A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identity that the client is at high risk for developing which of the following conditions?

A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following Interventions is an example of a tertiary intervention strategy for this client?

A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?