Which response is most therapeutic?
"Tell me about the visit with your significant other.
I can see that you are feeling lonely."
"I noticed that you were more insulting to the evening group after your significant other left.
Why is that?"
"Why don't you try to make some friends here so you won't feel so lonely?"
The Correct Answer is D
This response is most therapeutic because it offers the client an opportunity to talk and express their feelings while also focusing on the positive aspects of their visit.
Choice A is not the correct answer because it assumes that the client is feeling lonely without giving them the opportunity to express their own feelings.
Choice B is not the correct answer because it confronts the client about their behavior in an accusatory manner.
Choice C is not the correct answer because it suggests a solution without first exploring the client’s feelings and needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To assess the quality of the client’s pain, the nurse should ask the client to describe the pain.
This will help the nurse to understand the characteristics of the pain and how it is affecting the client.
Choice B is incorrect because providing a numeric pain scale only assesses the intensity of the pain, not its quality.
Choice C is incorrect because identifying effective pain relief measures does not assess the quality of the pain.
Choice D is incorrect because observing body language and movement only provides indirect information about the quality of the pain.
Correct Answer is C
Explanation
This will help determine if there is any residual urine left in the bladder after voiding.
Choice A is not the answer because reviewing the chart for the number of voids over the last 24 hours is important but not sufficient to evaluate for urinary retention.
Choice B is not the answer because evaluating for urinary incontinence is important but not sufficient to evaluate for urinary retention.
Choice D is not the answer because while palpating the suprapubic region for distention can provide some information, scanning the bladder after voiding is a more accurate way to evaluate for urinary retention.
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