A client asks the nurse, "You know all about my situation. Do you think I should get a divorce?" The best reply for the nurse to make would be:
1. "Let's discuss your ideas about this."
2. "Divorce should be avoided, if possible."
3. "Have you considered any alternatives to divorce?"
4. "It seems you are trying to shift the burden of decision making to me."
ANS: 1
When a client asks the nurse what to do, it is likely that he or she is not as interested in the nurse's opinion as in a desire for the nurse to stay engaged while the client continues to explore the problem. Thus inviting the client to explore his or her thoughts about the issue is the most therapeutic avenue to take. Options 2 and 3 give the impression that the nurse is against divorce. Option 4 attacks the client.
You might also like to view...
A nurse is working with a client diagnosed with SSD. What criteria would differentiate this diagnosis from illness anxiety disorder (IAD)?
1. The client diagnosed with SSD experiences physical symptoms in various body systems, and the client diagnosed with IAD does not. 2. The client diagnosed with SSD experiences a change in the quality of self-awareness, and the client diagnosed with IAD does not. 3. The client diagnosed with SSD disorder has a perceived disturbance in body image or appearance, and the client diagnosed with IAD does not. 4. The client diagnosed with SSD only experiences anxiety about the possibility of illness, and the client diagnosed with IAD does not.
The nurse is caring for a patient who has just undergone a bronchoscopy and has been in recovery for the last 15 minutes. The nurse should be especially watchful for which of the following? (Select all that apply.)
a. Return of the gag reflex b. Laryngospasm c. Respiratory status d. Facial or neck crepitus
During the assessment of a client recovering from surgery, the nurse notes decreased breath sounds in both lower lobes bilaterally. What should the nurse do?
1. Coach the client to deep-breathe and cough. 2. Restrict fluids. 3. Remind the client to perform leg exercises. 4. Maintain on bed rest.
One of the most likely times for errors to occur is
A. during shift report. B. after transfer of care. C. during meals. D. when staff members are busy.