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 response is most appropriate?
1. "I'm confident you know what's best for you."
2. "This may not be the best time for you to make such an important decision."
3. "Your children will be terribly disappointed."
4. "Tell me why you want to make this change."
2
Rationale: 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.
You might also like to view...
A nurse should instruct a patient taking cyclosporine that toxic levels may be reached if the drug is administered with:
a. coffee. b. tea. c. grapefruit juice. d. milk.
A client with paraplegia is scheduled to participate in a rehabilitation program. The client does not understand the need for rehabilitation, because the paralysis will not go away nor will it get better. What is the nurse's best response?
A. "If you would prefer, I will cancel the order." B. "Your doctor ordered the rehabilitation program." C. "Rehabilitation will teach you how to maintain the functional ability you have." D. "When new discoveries are made regarding paraplegia, people in rehabilitation programs will benefit first."
The nurse delegates helping the older patient ambulate with a walker without wheels to nursing assistive personnel (NAP). Which instructions should the nurse provide to the NAP?
a. Show the patient how to slide the walker a few steps ahead. b. Check the patient for non-skid shoes be-fore using the walker. c. Be sure that the patient places all weight on the front of the walker. d. Ensure that the patient is wearing soft slipper socks while walking.
If a patient develops HIV-associated lipodystrophy syndrome (HALS), the best dietary recommendation is to
a. maintain adequate protein and energy intake so as to reduce muscle loss. b. use medium-chain triglycerides and avoid lactose. c. avoid raw, undercooked, or unpasteurized foods. d. follow a Mediterranean diet and take omega-3 fatty acid supplements