A despondent client, who has recently lost her husband of 30 years, tearfully states, "I'll feel a lot better if I sell my house and move away." Which nursing reply is most appropriate?
A. "I'm confident you know what's best for you."
B. "This may not be the best time for you to make such an important decision."
C. "Your children will be terribly disappointed."
D. "Tell me why you want to make this change."
B
During crisis intervention, the nurse should guide the client through a problem-solving process. The nurse should help the individual confront the source of the problem, encourage the individual to discuss changes he or she would like to make, and encourage exploration of feelings about aspects of the crisis that cannot be changed. The nurse should also assist the client in determining whether any changes are realistic and if timing of change is appropriate. This response encourages the client to think through what may be an impulsive decision.
You might also like to view...
A patient is in hypovolemic shock but has a normal blood pressure. The nurse understands that part of the rationale for this effect is activation of the renin-angiotensin system and the subsequent secretion of aldosterone
What physiologic effect does the activation of aldosterone result in? A) Inhibition of vasoconstriction B) Reabsorption of sodium and water C) Promotion of central vasodilation D) Inhibition of peripheral vasoconstriction
All of the following changes occur to the heart and lungs as a result of aging EXCEPT
A) vital capacity decreases. B) stroke volume increases. C) maximum heart rate decreases. D) heart muscle thickens with age.
While assessing an older adult, the nurse anticipates that the client will respond slowly:
A) In order to be sure the correct answer is given. B) Due to irreversible memory impairment. C) Due to decreasing oxygen available to the brain secondary to decreased exercise levels. D) In order to weigh the pros and cons of the perceived risk inherent in answering the question.
A nurse is performing a health assessment on a young adult female. Which of the following comments by the client would cause the nurse to be concerned?
a. "I can't believe I didn't get that promotion. I thought I was the best candidate." b. "I can't believe they didn't admit me to that graduate program with my good undergraduate grades!" c. "I can't believe how lonely it is around the house since my spouse died." d. "I can't believe how little I care about anything anymore since that diagnosis."