A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?
"Tell me more about what happened last night."
"I know you will sleep better tonight."
"No one sleeps well in the hospital."
"Did you drink too much caffeine yesterday?"
The Correct Answer is A
A. Asking the patient to describe what happened provides an opportunity for them to express their concerns and opens a dialogue for finding a solution.
B. Assuming the patient will sleep better tonight without addressing current issues dismisses their concerns.
C. Generalizing about hospital conditions is dismissive and does not address the patient’s specific issue.
D. Focusing on possible causes without understanding the patient’s experience may come across as accusatory or dismissive.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The patient develops maladaptive coping strategies.
This indicates a negative response to imagery, as maladaptive coping strategies are not a favorable outcome.
B. The patient’s immune response is suppressed.
A suppressed immune response is a negative outcome and suggests that the imagery is not having a beneficial effect.
C. The patient’s healing time is increased.
Increased healing time indicates that the imagery is not effectively supporting the patient’s recovery or well-being.
D. The patient’s blood pressure is better controlled.
This indicates a positive response to imagery. Effective use of imagery can lead to improved physiological responses such as better blood pressure control, showing that the technique is helping the patient.
Correct Answer is C
Explanation
A. Telling the client that offensive language is a problem does not involve a respectful, caring approach or explain the issue.
B. Asking the client to avoid offensive language is a step that can come after explaining the issue.
C. Describing how the offensive language is disrespectful of others is the first step in the CARE method, which involves Confronting the behavior with a clear explanation.
D. Explaining positive consequences is a later step, after addressing the current behavior.
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