A nurse cares for an older adult client with heart failure. The client states, "I don't know what to do. I don't want to be a burden to my daughter, but I can't do it alone. Maybe I should die." How should the nurse respond?
a. "Would you like to talk more about this?"
b. "You are lucky to have such a devoted daughter."
c. "It is normal to feel as though you are a burden."
d. "Would you like to meet with the chaplain?"
ANS: A
Depression can occur in clients with heart failure, especially older adults. Having the client talk about his or her feelings will help the nurse focus on the actual problem. Open-ended statements allow the client to respond safely and honestly. The other options minimize the client's concerns and do not allow the nurse to obtain more information to provide client-centered care.
You might also like to view...
A patient with cystic fibrosis has received a double lung transplant and is now experiencing signs of rejection. What is the immune response that predominates in this situation?
A) Humoral B) Nonspecific C) Cellular D) Mitigated
A patient receiving chemotherapy and prescribed ondansetron (Zofran) asks why the drug is given before meals. What is your best response?
a. "Ondansetron is given 30 minutes before your meals to prevent nausea." b. "The purpose of ondansetron is to move food rapidly through your GI tract." c. "Ondansetron works by preventing nausea caused by morphine given for your pain." d. "If ondansetron is given after your meals, food would interfere with its absorption."
Nursing care is planned and directed by
A. registered nurses. B. physicians. C. licensed practical (vocational) nurses. D. supervisory personnel.
A nurse plans care to prevent deformities in a client with RA. which intervention should be alternated with periods of rest?
a. active exercise b. passive massage c. bracing of joints d. isometric exercises