Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?
"You aren't hungry?"
"If you can't eat, what is that candy bar wrapper doing under your bed?"
"You really should try to eat some real food."
"Why aren't you hungry?"
The Correct Answer is D
Choice A reason: This response is a closed-ended question that might not encourage further discussion or reveal the underlying issues.
Choice B reason: This confrontational approach could make the patient defensive and is not conducive to building a therapeutic relationship.
Choice C reason: While encouraging the patient to eat is important, this directive does not address the patient's feelings or concerns.
Choice D reason: Asking an open-ended question invites the patient to share more about their feelings and can lead to a better understanding of their lack of appetite.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cor pulmonale specifically refers to right-sided heart failure. It occurs due to an underlying lung disorder causing pulmonary hypertension (high pressures in the lungs). The right ventricle enlarges and pumps blood less effectively.
Choice B reason:Cor pulmonale does not involve the left side of the heart. It is primarily related to the right ventricle.
Choice C reason: While further testing may be necessary, it does not directly explain cor pulmonale.
Choice D reason:Cor pulmonale results from lung conditions causing pulmonary hypertension.The right ventricle becomes enlarged and less effective due to increased pressure in the pulmonary arteries.
Correct Answer is C
Explanation
Choice A reason: While attaching leads for a 12-lead ECG is important, it is not the most immediate action required for a client showing signs of distress and potential hypoxia.
Choice B reason: Obtaining a blood sample is necessary for diagnosing the cause of chest pain but is not the first priority in an emergency situation.
Choice C reason: Initiating oxygen therapy is the first and most critical step in managing a client with severe chest pain, shortness of breath, and cyanosis to ensure adequate oxygenation.
Choice D reason: Inserting an IV catheter is important for administering medications and fluids but comes after ensuring the client is receiving sufficient oxygen.
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