A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be:
Select one:

I’m not sure I understand. Please give me an example...

"Can you explain me everything again?"

"Why do you feel like that? What would you like me to do to help you?"

You must get your feelings under control before we can continue."

Answer and Explanation

The Correct Answer is A

This response is appropriate because it seeks clarification and more information to help the nurse better understand the patient's statement. By asking for an example, the nurse can gain a better understanding of the patient's experience and identify appropriate interventions to help the patient manage their anxiety.

Option b is not an appropriate response as it does not seek clarification and instead asks the patient to repeat themselves.

Option c is partially appropriate but could be improved by asking more specific questions to help the patient articulate their feelings and needs.

Option d is not an appropriate response as it dismisses the patient's feelings and may cause the patient to feel unsupported and isolated.

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Correct Answer is C

Explanation

Countertransference refers to the feelings and emotions that a healthcare provider may have towards a patient. In this case, the nurse is experiencing sadness and reﬂecting on their own personal experiences with their grandparents while assessing the confused older adult. This can lead to the nurse projecting their own feelings and emotions onto the patient.

A. suggests that two patients who have been fighting stay in their rooms. B. explores alternative solutions with a patient, who then makes his/her own choice among the alternatives C. stays with a patient who is demonstrating a severe level of anxiety. D. intervenes when a self-mutilating patient attempts to harm him/herself.

Correct Answer is B

Explanation

The ethical principle of autonomy refers to an individual's right to make decisions about their own healthcare, treatment, and life choices. As a registered nurse, it is important to respect and promote the autonomy of patients. Option b best exemplifies the implementation of the ethical principle of autonomy because it involves exploring alternative solutions with the patient and allowing them to make their own choice among those alternatives. This approach respects the patient's right to make decisions about their own care, while also ensuring that they have the information they need to make an informed decision.

Option a suggests that the nurse is imposing their own decision on the patients, which violates the principle of autonomy.

Option c may involve staying with the patient to provide support and reassurance, but it does not necessarily involve promoting the patient's autonomy.

Option d involves intervening to prevent harm to the patient, which may be necessary at times but is not necessarily an example of promoting the patient's autonomy.

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A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A registered nurse assesses a confused older adult, The nurse experiences sadness and reﬂects. "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe? Select one:

Correct Answer is C

Explanation

A psychiatric registered nurse best implements the ethical principle of autonomy when he or she: Select one:

Correct Answer is B

Explanation

Which of the following individuals is at highest risk for committing suicide?

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A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be:
Select one: