A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?

"You really should work hard to stay on the schedule we establish here."

"I wouldn't worry about what you've done in the past. You'll do just fine this time."

"Why do you find it difficult to take your medications if they improve your condition?"

"Let's work together to devise a schedule that is convenient for you on a daily basis."

Answer and Explanation

The Correct Answer is D

The response "Let's work together to devise a schedule that is convenient for you on a daily basis" demonstrates a collaborative and patient-centered approach. It acknowledges the client's difficulty in following a medication regimen and suggests finding a solution that works for the client's lifestyle and needs. By involving the client in the process and considering their preferences and challenges, the nurse can increase the chances of medication adherence.

The response "You really should work hard to stay on the schedule we establish here" may come across as judgmental and may not address the underlying reasons for the client's difficulty in medication adherence. It does not promote a collaborative and supportive environment.

The response "I wouldn't worry about what you've done in the past. You'll do just fine this time" dismisses the client's concerns and does not provide practical strategies to improve medication adherence. It does not address the client's specific challenge or offer any support.

The response "Why do you find it difficult to take your medications if they improve your condition?" is a probing question that seeks to understand the client's reasons for struggling with medication adherence. While it may be important to explore the underlying reasons, it should be followed by a supportive and collaborative approach to finding solutions.

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Correct Answer is C

Explanation

This response is an appropriate nursing response in this situation. It acknowledges the client's need for assistance with grocery shopping while also recognizing that shopping and personal errands are not within the nurse's job description. By suggesting to explore other resources, the nurse can help the client find alternative solutions to meet their needs. This response demonstrates a willingness to support the client and collaborate on finding appropriate assistance, while also maintaining professional boundaries and responsibilities.

A. "I won't be able to shop for you today because I have to get home to my family." This response is inappropriate because it focuses on the nurse's personal circumstances and may come across as dismissive of the client's request for help. It does not address the client's needs or offer any alternative solutions.

B. "What I think you should do is wait for the days when you feel better and do your grocery shopping then." This response is dismissive of the client's current situation and does not offer any practical assistance or support. It implies that the client should simply wait for their condition to improve without addressing their immediate needs.

D. "I would be happy to do whatever I can to help you." While this response may initially seem supportive, it is inappropriate because shopping and performing personal errands for the client are not within the nurse's job description. It is important for the nurse to establish professional boundaries and adhere to the responsibilities outlined in their job description.

A. Get the client ready for sleep at the same time each night. B. Move the client to a room next to the open nurses' station. C. Encourage client to take a 1-hr nap each afternoon. D. Play the client's favorite music in the room while the client is sleeping.

Correct Answer is A

Explanation

Establishing a consistent bedtime routine and sleep schedule can promote better sleep hygiene and help regulate the client's sleep-wake cycle. By getting the client ready for sleep at the same time each night, the nurse helps create a predictable and calming routine that signals to the body that it is time to sleep.

Incorrect:

B. Move the client to a room next to the open nurses' station: This measure may increase noise and disturbances, which can further disrupt the client's sleep. Providing a quiet and peaceful environment is generally more conducive to restful sleep.

C. Encourage the client to take a 1-hour nap each afternoon: While short daytime naps can be beneficial for some individuals, they may interfere with the client's ability to fall asleep or stay asleep at night. It is generally recommended to limit daytime napping, especially if the client is having trouble sleeping at night.

D. Play the client's favorite music in the room while the client is sleeping: While some individuals find soothing music helpful for relaxation and sleep, it is essential to consider the client's preferences. Not everyone finds music helpful for sleep, and it is important to respect the client's preferences and individual needs. Some clients may find silence or white noise more conducive to sleep.

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A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?

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Correct Answer is C

Explanation

A nurse in a long-term care facility is caring for an older adult client who is anxious and has trouble sleeping at night. Which of the following nursing measures should the nurse implement?

Correct Answer is A

Explanation

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