Linda is pacing the floor and appears extremely anxious. The daily shift nurse approaches Linda to lessen her anxiety. The most therapeutic statement by the nurse would be:
How about watching a football game?
What do you have to be upset about now?
Tell me how you are feeling today.
Ignore the client.
The Correct Answer is C
This statement shows that the nurse is interested in Linda's feelings and is willing to listen to her. It allows Linda to express her emotions and concerns, which can help to reduce her anxiety.
Option A ("How about watching a football game?") may not be appropriate as Linda may not be interested in football or may not find it helpful in reducing her anxiety.
Option B ("What do you have to be upset about now?") is not a therapeutic statement as it can be perceived as dismissive and invalidating of Linda's feelings.
Option D ("Ignore the client.") is never an appropriate approach for a nurse or any healthcare professional as it goes against the principles of providing care and support to patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
As a healthcare provider, it is important to respect and support the cultural and religious practices of our patients. In this case, the patients have expressed a desire to follow the same prayer schedule they did prior to admission, and it is our responsibility to accommodate their request to the best of our abilities.
Option b, suggesting that the patients learn another prayer, may not be appropriate as it implies that their current prayer practices are not valid or important.
Option c, suggesting that they can go back to their regular prayer schedule after discharge, ignores their current needs and may cause unnecessary stress or discomfort.
Option d, dismissing their request and saying "you are in America now" is disrespectful and inappropriate.
Therefore, the best response is a, asking how we can accommodate the patients' prayer time, showing respect for their cultural and religious beliefs and willingness to support their needs.
Correct Answer is C
Explanation
Involuntary admission to a mental health unit is done when an individual poses a threat to themselves or others due to a mental health condition. The initial hold is usually for 72 hours, during which the client's condition is assessed and an appropriate treatment plan is developed. If the client is still deemed to be a danger to themselves or others after the initial hold, the healthcare provider may request an extension of the hold or seek a court order to continue treatment.
In order to keep the client in the hospital, it must be determined that they continue to pose a threat to themselves or others.
Factors such as the client's ability to make arrangements to stay with someone or financial capability to pay for medications are not relevant to the decision of whether to continue the hold.
Similarly, unwillingness to accept treatment is not the determining factor, as involuntary treatment can be provided to clients who do not recognize their need for treatment if they are deemed to be a danger to themselves or others.
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