A nurse is conducting a health history interview with a client who has rheumatoid arthritis. The nurse notices that the client is grimacing and rubbing their hands. Which of the following statements by the nurse is appropriate at this time?

"You seem to be in pain. Would you like some medication?"

"How long have you had rheumatoid arthritis? What treatments have you tried?"

"Let's take a break from the interview. I will come back later when you are feeling better."

"How does your pain affect your daily activities? How do you cope with it?"

Answer and Explanation

The Correct Answer is D

The nurse uses an appropriate statement that acknowledges the client's pain and explores its impact on their quality of life and coping strategies. This helps to assess the client's physical, emotional, and social needs, as well as provide support and education.

Incorrect options:

A) "You seem to be in pain. Would you like some medication?" - This is an inappropriate statement that assumes that the client wants medication without assessing their pain level, preference, or history of medication use.

B) "How long have you had rheumatoid arthritis? What treatments have you tried?" - This is an inappropriate statement that ignores the client's pain and continues with the interview without addressing their comfort or needs.

C) "Let's take a break from the interview. I will come back later when you are feeling better." - This is an inappropriate statement that terminates the interview prematurely and may make the client feel dismissed or abandoned.

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Correct Answer is D

Explanation

The nurse demonstrates therapeutic communication by using an open-ended statement that invites the client to express their feelings and concerns. The nurse also shows empathy, respect, and genuineness by offering to listen attentively.

Incorrect options:

A) "You should be more optimistic. Things could be worse." - This is a nontherapeutic response that minimizes the client's feelings and implies that the client is wrong or ungrateful for feeling depressed and hopeless.

B) "Why do you feel depressed and hopeless? You have a lot to live for." - This is a nontherapeutic response that uses a closed-ended question that can make the client feel defensive or guilty for feeling depressed and hopeless. The nurse also makes an assumption about the client's life without exploring their perspective.

C) "I understand how you feel. I have a family member who has diabetes too." - This is a nontherapeutic response that uses false reassurance and self-disclosure that can shift the focus away from the client and their feelings.

A. "You have been doing a great job caring for your spouse. You deserve some time for yourself." B. "You should not feel guilty for wanting some time for yourself. It is normal to feel that way." C. "You must be feeling very stressed and exhausted. It is not easy to care for a terminally ill spouse." D. "You need to take care of yourself too. Have you considered respite care or hospice services?"

Correct Answer is C

Explanation

The nurse reflects the use of empathy by recognizing and validating the spouse's feelings and situation, without judging or offering advice.

Incorrect options:

A) "You have been doing a great job caring for your spouse. You deserve some time for yourself." - This is a statement that reflects the use of praise, which can be helpful in some situations, but does not demonstrate empathy or address the spouse's feelings of guilt.

B) "You should not feel guilty for wanting some time for yourself. It is normal to feel that way." - This is a statement that reflects the use of reassurance, which can be counterproductive in some situations, as it can minimize or dismiss the spouse's feelings of guilt.

D) "You need to take care of yourself too. Have you considered respite care or hospice services?" - This is a statement that reflects the use of information, which can be beneficial in some situations, but does not demonstrate empathy or explore the spouse's feelings or needs.

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A nurse is conducting a health history interview with a client who has rheumatoid arthritis. The nurse notices that the client is grimacing and rubbing their hands. Which of the following statements by the nurse is appropriate at this time?

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is conducting a health history interview with a client who has rheumatoid arthritis. The nurse notices that the client is grimacing and rubbing their hands. Which of the following statements by the nurse is appropriate at this time?