Which statement made by the nurse would be most appropriate to an elderly client who is confused, has no history of dementia and is hospitalized for an acute urinary tract infection?
"You are likely to become progressively more confused now."
"This is only a temporary situation."
"Don't worry about it; everyone is confused when they are in the hospital."
"Things may be upsetting and confusing right now, but your confusion should clear as you get better."
The Correct Answer is D
A. This statement may cause unnecessary distress to the client and is not necessarily true in this situation.
B. While the confusion may be temporary, this statement may not provide enough reassurance or information.
C. This statement may not be accurate or helpful in addressing the client's concerns about confusion.
D. This statement provides reassurance and offers a positive outlook, indicating that the confusion is likely to improve as the client's condition gets better.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["16"]
Explanation
- The client needs to take 8 mg of risperidone per day in liquid form.
- The concentration of the liquid medication is 0.5 mg/mL.
- To calculate the daily dose in milliliters, divide the total milligrams by the concentration.
- 8 mg / 0.5 mg/mL = 16 mL
- The answer is 16. This is the number of milliliters that would be administered daily.
Correct Answer is C
Explanation
A) Incorrect. This statement is a straightforward denial rather than rationalization.
B) Incorrect. This response is an example of avoidance or distraction, not rationalization.
C) Correct. Rationalization involves offering logical or reasonable explanations to justify behaviors or actions that might otherwise be unacceptable. In this case, the client is rationalizing her alcohol consumption as a means to relax and cope with the day treatment.
D) Incorrect. This statement reflects a defensive response but is not an example of rationalization.
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