An older adult client who is dying says to the nurse, "My son is 40 years old, but he works in a very poorly paying job and is always borrowing money from me. I don't know how he's going to manage without me." Which response by the nurse would be therapeutic?

A. "Could you share your feelings with your son just as you have with me?"
B. "Sounds as if your son will never grow up and learn to take care of himself."
C. "Goodness. At 22, I supported myself and never asked my mother for anything."
D. "I wonder why you're so worried about your adult son when you need to concentrate on you?"


Answer: A. "Could you share your feelings with your son just as you have with me?"

Nursing

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The pregnant client and her partner are both 40 years old. The nurse is explaining the options of chorionic villus sampling (CVS) and amniocentesis for genetic testing. The nurse should intervene if the client states:

1. "Amniocentesis results are available sooner than CVS results are." 2. "CVS carries a higher risk of limb abnormalities." 3. "Amniocentesis cannot detect a neural tube defect." 4. "CVS is performed through my belly or my cervix."

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Once anticoagulation therapy has ended, what should the nurse advise the patient to do?

a. Go back to using a razor for shaving as before therapy. b. Use caution for a while after therapy has ended. c. Remove the Medic-Alert bracelet at the end of therapy. d. Resume alcohol consumption after therapy has ended.

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The nurse assesses a loud cardiac murmur with a thrill. This would be considered as being a:

a. mitral valve murmur. c. grade V murmur. b. grade IV murmur. d. pulmonic valve murmur.

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Which intervention should the nurse use first when caring for a patient experiencing anxiety?

a. Assist the patient to problem solve. b. Provide support and understanding. c. Reorient the patient. d. Provide privacy.

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