A nurse is talking with a client who reports that they have started feeling anxious every time they have to leave their house. Which of the following responses should the nurse make?
"Have you tried leaving your house just once per day?"
"Have you thought about moving to a new neighborhood?"
"Let's discuss how you feel when you leave your house."
"Tell me why you have developed an aversion to leaving your house."
The Correct Answer is C
Choice A Reason:
"Have you tried leaving your house just once per day?" This response assumes a potential solution without fully understanding the client's feelings. It doesn't encourage open discussion or exploration of the client's anxiety.
Choice B Reason:
"Have you thought about moving to a new neighborhood?" This response jumps to a significant life change as a solution without exploring the client's current situation and emotions. It may not be a practical or necessary step.
Choice C Reason:
"Let's discuss how you feel when you leave your house." This response is an open and therapeutic approach that encourages the client to express their feelings and thoughts about the situation. It allows the nurse to gather more information and better understand the client's anxiety related to leaving the house. The other options do not facilitate open communication or exploration of the client's feelings.
Choice D Reason:
"Tell me why you have developed an aversion to leaving your house." While this response is more open-ended, it phrases the question in a somewhat confrontational manner, which might make the client defensive. The previous response ("Let's discuss how you feel when you leave your house") is gentler and inviting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
Explanation
The client's symptoms are concerning for angina or a possible myocardial infarction (heart atack) and require immediate intervention. Nitroglycerin is a medication that can help relieve chest pain associated with cardiac events by dilating blood vessels and reducing the workload on the heart.
Therefore, the nurse should administer nitroglycerin as ordered by the provider. After administering nitroglycerin, the nurse should obtain an ECG to assess for any changes in cardiac rhythm or evidence of ischemia (lack of blood flow to the heart muscle).
The ECG can provide important diagnostic information and guide further treatment decisions.
Correct Answer is B
Explanation
Choice A Reason:
Presenting information from complex to simple: While it's important to simplify complex medical information, presenting it from complex to simple in a brochure may not be the best approach for general public education. Starting with complex information could potentially overwhelm and confuse readers.
Choice B Reason:
Write the information at an 8th-grade reading level is correct. When developing educational materials like brochures for the community, it's important to use language that is easily understandable by the target audience. Writing the information at an 8th-grade reading level ensures that the content is accessible to a wide range of individuals with varying levels of education and literacy. This approach promotes effective communication and helps ensure that more people can access and understand the information about hypertension and its management.
Choice C Reason:
Explaining medical terminology using basic, one-syllable words: While simplifying medical terminology is essential, using only one-syllable words may oversimplify the content and may not adequately convey important information about hypertension.
Choice D Reason:
Using a 12-point font size: Font size is important for readability, but using a specific font size like 12-point may not be sufficient on its own to ensure readability. Factors such as the choice of font style, spacing, and layout are also critical for making the brochure easy to read.
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