During a therapy session, a client begins to cry while discussing a traumatic experience. What is the nurse’s most appropriate response?
“I can see this is very difficult for you.”.
“Please don’t cry, it’s not good for you.”.
“Why are you crying?”
“Let’s move on to a different topic to distract you.”.
The Correct Answer is A
Choice A rationale
“I can see this is very difficult for you.”. This response is appropriate as it acknowledges the client’s emotions and provides validation. It demonstrates empathy and encourages the client to express their feelings, which is essential in therapeutic communication.
Choice B rationale
“Please don’t cry, it’s not good for you.”. This response is inappropriate as it dismisses the client’s emotions and may make them feel invalidated. Crying is a natural response to emotional distress, and the nurse should support the client in expressing their feelings.
Choice C rationale
“Why are you crying?” This response is also inappropriate as it may come across as judgmental or dismissive. It does not provide the support and empathy the client needs during a difficult moment.
Choice D rationale
“Let’s move on to a different topic to distract you.”. This response is not appropriate as it avoids addressing the client’s emotions and may make the client feel that their feelings are not important. The nurse should focus on supporting the client through their emotional experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Keeping the fluorescent ceiling light on at night can cause glare and disrupt sleep, which is not ideal for safety. It may also create shadows that can be disorienting.
Choice B rationale
Keeping the walker at the end of the bed is not practical. The walker should be within easy reach to ensure the client can use it immediately upon getting out of bed.
Choice C rationale
Placing grip bars in the shower is a correct and effective safety measure. Grip bars provide stability and support, reducing the risk of falls while bathing.
Choice D rationale
Placing an area rug at the entry of the bathroom can be a tripping hazard. Rugs can slip or bunch up, increasing the risk of falls.
Correct Answer is B
Explanation
Choice A rationale
Confining a patient to a room without provisions for their care is not the best definition of false imprisonment. While it may be considered neglect or abuse, false imprisonment specifically involves restraining a person against their will without legal justification.
Choice B rationale
Restraining a patient against their will is the correct definition of false imprisonment. False imprisonment occurs when a person is intentionally confined or restrained without their consent and without legal authority.
Choice C rationale
Applying physical restraints to prevent falls is not considered false imprisonment if done with proper consent and following legal and medical guidelines. It is a safety measure, not an unlawful restraint.
Choice D rationale
Implementing a care plan without patient consent may be considered a violation of patient rights, but it does not fit the definition of false imprisonment. False imprisonment specifically involves physical restraint or confinement.
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