A nurse is working with a client who has frequent angry outbursts which is disrupting life at home. Which statement by the nurse is most helpful when working with this client?

"You can reduce your anger by hitting a punching bag."

"You need to learn how to be less assertive in your communications."

"You need to learn to suppress these angry feelings."

"Anger is a normal feeling, and you can use it to solve problems

Answer and Explanation

The Correct Answer is D

Option D is the most helpful statement when working with a client who has frequent angry outbursts. It acknowledges that anger is a normal emotion that everyone experiences at times. Additionally, it provides a positive perspective on anger, suggesting that it can be used constructively to solve problems.

Anger itself is not a negative emotion; it becomes problematic when it is expressed inappropriately or disruptively. By validating the client's feelings and reframing anger as a potential tool for problem-solving, the nurse can help the client explore healthier ways to cope with and express their emotions.

Options A, B, and C are not as helpful in this situation:

A. "You can reduce your anger by hitting a punching bag." - While physical activity can help release pent-up emotions, this statement focuses solely on a physical outlet for anger and does not address the underlying issues causing the frequent angry outbursts.

B. "You need to learn how to be less assertive in your communications." - This statement suggests that the client's assertiveness is the problem, which may not be the case. Instead, the nurse should focus on helping the client develop healthier ways to express their emotions and communicate effectively.

C. "You need to learn to suppress these angry feelings." - Encouraging the suppression of emotions is not a healthy coping mechanism. Suppressing anger can lead to increased stress and may result in more intense outbursts later on. The nurse should help the client learn constructive ways to manage and express their anger.

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Correct Answer is D

Explanation

The statement, "I will find a support group to help me through this," indicates that the client's coping skills are adequate. Seeking support from others who have experienced a similar loss can be an effective way to cope with feelings of loneliness and vulnerability after the death of a spouse. Support groups provide a safe and understanding environment where individuals can share their experiences, feelings, and struggles, and receive emotional support from others who can relate to their situation.

Option A suggests an overconfidence in coping skills and may not fully acknowledge the need for external support during a challenging time.

Option B indicates a sense of feeling abandoned, which could be a sign of struggling coping skills.

Option C suggests confusion and difficulty accepting the loss, which may indicate inadequate coping skills at the moment.

A. "Do you have enough money to pay for your care today? B. "Do you feel safe in your home?" C. "Do you take Illegal street drugs? D. Do you obtain regular medical care?

Correct Answer is B

Explanation

Explanation: The priority question the nurse should ask the client during the initial assessment is whether they feel safe in their home (Option B). This question is essential because it addresses the client's safety and well-being, particularly regarding the possibility of domestic violence or intimate partner violence.

Assessing for safety is a critical component of the initial assessment, especially for female clients, as they may be at higher risk for experiencing domestic violence or abuse. By asking about the client's safety in their home, the nurse can identify potential issues related to violence or unsafe living conditions and take appropriate actions to ensure the client's safety.

Options A, C, and D are also important assessment questions, but they are not the priority in this scenario:

A. "Do you have enough money to pay for your care today?" - This is an important question regarding the client's financial situation and ability to access healthcare. However, safety and well-being take precedence over financial concerns in the initial assessment.

C. "Do you take illegal street drugs?" - This question is crucial for assessing the client's substance use and potential risk factors related to drug use. However, the safety question (Option B) is more immediate and directly addresses the client's well-being.

D. "Do you obtain regular medical care?" - This question is vital for assessing the client's healthcare needs and access to healthcare services. However, the safety question (Option B) should be addressed first to ensure the client's immediate safety and well-being.

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A nurse is working with a client who has frequent angry outbursts which is disrupting life at home. Which statement by the nurse is most helpful when working with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young client tells the nurse that the client's spouse died 3 months ago, and the client is feeling alone and vulnerable. Which statement indicates that the client's coping skills are adequate?

Correct Answer is D

Explanation

The nurse working in an outpatient clinic is performing an intake assessment for a female client. Which priority question will the nurse ask the client as part of the initial assessment?

Correct Answer is B

Explanation

An alert, oriented older adult client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which reason does the nurse identify is most likely why the client has not reported the abuse?

A nurse observes another nurse acting flirtatiously and bringing small gifts, such as candy, to a client in the behavioral health unit. Which action is a priority by the observing nurse?

The nurse is completing a family assessment for a victim of intimate partner violence. Which characteristic of the abuser will the nurse identify when completing the assessment?

An angry client has just thrown a chair across the room and is racing to pick up another chair to throw. Which is the most appropriate action by the nurse?

The nurse is working with an adolescent client that is argumentative with staff and peers on the behavioral health unit. Which therapeutic response will be most beneficial for the client to decrease acting out behavior?

A client is informed by the nurse that they must take their medication, and the client kicks the nurse and runs to their room. Which action by the nurse demonstrates that the nurse falsely imprisons the client?

A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately in a calm manner to prevent the client from moving to which phase of the aggression cycle?

A client is manipulative with staff and disruptive in the milieu. Although the client is not demonstrating behaviors that are a threat to self or others, they are refusing all medications. Which action by the nurse is most appropriate?