A client with chronic kidney disease states, "I feel chained to the hemodialysis machine." What is the nurse's best response to the client's statement?
a. "That feeling will gradually go away as you get used to the treatment."
b. "You probably need to see a psychiatrist to see if you are depressed."
c. "Do you need help from social services to discuss financial aid?"
d. "Tell me more about your feelings regarding hemodialysis treatment."
ANS: D
The nurse needs to explore the client's feelings in order to help the client cope and enter a phase of acceptance or resignation. It is common for clients to be discouraged because of the dependency of the treatment, especially during the first year. Referrals to a mental health provider or social services are possibilities, but only after exploring the client's feelings first. Telling the client his or her feelings will go away is dismissive of the client's concerns.
You might also like to view...
The nurse is unable to aspirate any residual volume from the client who receives intestinal tube feedings at a rate of 200 ml every 6 hours by intermittent gavage. Which should the nurse im-plement?
1. Insert a nasogastric tube. 2. Withhold the next feeding. 3. Notify the client's provider. 4. Administer the next feeding.
An employee is showing deficiencies in the technical skills involved in everyday nursing care. Which of the following is the first step in terminating this employee?
A) Oral reprimand B) Written reprimand C) Plan of assistance D) Performance review
The nurse is reviewing the manifestations of premenstrual syndrome (PMS) with a group of community women. Which dietary changes should the nurse recommend?
Select all that apply. 1. eating a diet high in complex carbohydrates 2. eating a diet high in protein 3. increasing caffeine intake 4. increasing fat intake 5. reducing sodium and alcohol consumption
A nurse is reinforcing instructions to use the incentive spirometer. Further teaching is necessary if the patient states:
1. "I was able to get the ball up to the marked level today." 2. "I blew into that thing 10 times a little while ago." 3. "I've been using the incentive spirometer every hour." 4. "I feel so tired when I finish using the incentive spirometer."