A client has been assessed as having moderate anxiety. He says "I feel undone.". An appropriate
response for the nurse would be
a. "Why do you suppose you are feeling anxious?"
b. "What would you like me to do to help you?"
c. "I'm not sure I understand. Give me an example.".
d. "You need to get your feelings under control.".
ANS: C
Increased anxiety results in scattered thoughts and an inability to articulate clearly. Clarifying helps
the client identify thoughts and feelings. Option A is a nontherapeutic question for which the client
likely does not have an answer. Option B: The client may be unable to determine this. Option D is a
directive the client is probably unable to accomplish.
You might also like to view...
When does iron-deficiency anemia generally appear in infants?
a. birth to 6 months c. 5 to 6 months b. 2 to 8 months d. 9 months or older
The nurse instructing a client on considerations regarding the medication calcium carbonate would include in the teaching plan that the client
a. has to wait 1 hour after meals to take the medication. b. may experience nausea or diarrhea. c. needs to take the calcium with an 8-ounce glass of water. d. should take the calcium carbonate with food.
A child with a profound intellectual disability is admitted to the hospital for an appendectomy. Which IQ does the nurse anticipate to see documented when reviewing this child's medical record?
1. Between 50 and 70 2. Below 20 3. Between 35 and 50 4. Between 20 and 35
The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP). Which assessment finding should take priority?
a. Patient report of bladder spasms b. Pink-tinged urine c. Leakage of small amounts of urine around the catheter d. 10-mL urine output in an hour