The nurse is caring for a patient with a new mobility deficit due to a recent stroke (CVA). The patient states, "I hate not being able to do simple things like walking by myself anymore." Which of the following responses provides the best support for the patient?

"You sound frustrated, tell me more about this feeling."

"You remind me of my mother, she is always frustrated when she is ill."

"I am concerned about your mental health; I will call your family."

"You need to be more careful after this stroke or you could fall."

Answer and Explanation

The Correct Answer is A

A. "You sound frustrated, tell me more about this feeling." This response validates the patient’s feelings and opens up a discussion about their emotions, which provides support and helps address their psychological needs.

B. "You remind me of my mother, she is always frustrated when she is ill." This response is not focused on the patient’s needs and shifts attention away from their concerns.

C. "I am concerned about your mental health; I will call your family." While mental health is important, calling the family without first addressing the patient’s immediate concerns might feel intrusive or premature.

D. "You need to be more careful after this stroke or you could fall." This response addresses safety but does not provide emotional support or acknowledge the patient’s feelings of frustration.

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Correct Answer is D

Explanation

A. "Drinking coffee at night is okay as long as you are used to it." Caffeine can disrupt sleep patterns and should be avoided close to bedtime, even if the individual is accustomed to it.

B. "Moderate exercise 2 hours before bed is recommended." Moderate exercise can promote better sleep, but it is generally recommended to complete exercise at least a few hours before bedtime to avoid overstimulation.

C. "Drinking alcoholic beverages promotes better sleep." Alcohol can initially induce sleep but often leads to disturbed sleep later in the night and can affect sleep quality.

D. "Most adults require 6-9 hours of sleep per night." This is accurate and reflects the general guideline for sleep duration needed for most adults to maintain health and well-being.

A. Displacement B. Rationalization C. Dissociation D. Projection

Correct Answer is B

Explanation

A. Displacement: Displacement involves transferring feelings to a less threatening object or person, which is not applicable to the client’s statement.

B. Rationalization: Rationalization involves justifying behaviors or feelings with logical reasons. The client’s statement reflects an unrealistic view rather than justifying actions.

C. Dissociation: Dissociation involves a disconnection from thoughts or feelings, which is not reflected in the client's statement.

D. Projection: Projection involves attributing one’s own feelings or thoughts to others. The client is expressing their own feelings about the wheelchair rather than attributing them to others.

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The nurse is caring for a patient with a new mobility deficit due to a recent stroke (CVA). The patient states, "I hate not being able to do simple things like walking by myself anymore." Which of the following responses provides the best support for the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient about good sleep hygiene habits. Which of the following information should the nurse include?

Correct Answer is D

Explanation

The nurse is assisting a client, from the bed into a wheelchair, who had a right-side below the knee amputation one day ago. The client states, "I will not be able to do much because of this wheelchair." The client is demonstrating which of the following defense mechanisms?

Correct Answer is B

Explanation

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