The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is ______________.
Answer(s): C
The arrival of the imperfect child that the mother had not envisioned places the mother in a situational crisis. Reactive is not an option.Maturational is an identified specific time period in normal development when anxiety and stress increase. Adventitious is a crisis that occurs outside the person’s control so that the person has a disruption in social norms.
A 26-year-old single woman is knocked down and robbed while walking her dog one evening. Three months later, she presents at the crisis clinic, stating that she cannot put this experience out of her mind. She complains of nightmares, extreme fear of being outside or alone, and difficulty eating and sleeping.What is the best response by the nurse?
Answer(s): B
Choice “That must have been a very difficult and frightening experience. It might be helpful to talk about it.” gives the client support and an opportunity to discuss the experience.Choices “I will ask the physician to prescribe medication for you.”, “In the future, you might walk your dog in a more populated area or hire someone else to take over this task.”, and “Have you thought of moving to a safer neighborhood?” do not validate her experience or permit discussion of her feelings.
A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom.What is the best response by the nurse?
Choice “Has anything happened recently or in the past that might have triggered these feelings?” provides support, reassurance, and an opportunity to gain insight into the cause of the anxiety.Choice “You have nothing to worry about. You are in a safe place. Try to relax.” dismisses the client’s feelings and offers false reassurance.Choices “We have given you a medication that helps to decrease feelings of anxiety.” and “Take some deep breaths and try to calm down.” do not allow the client to discuss his feelings, which he must do in order to understand and resolve the cause of his anxiety.
An appropriate when assessing a client’s self-expectations about weight loss is ______________.
Answer(s): D
Nurses should assist clients to evaluate themselves and make behavior changes.Listening to clients, supporting clients’ strengths, assisting clients to look at themselves in totality, and encouraging clients to set attainable goals should be part of the nurse-client relationship.
A patient says to the LPN/LVN, “I think you’re really cute and we get along so well. Once I’m out of here, would you like to go on a date sometime?”Which response by the LPN/LVN is the most appropriate?
Answer(s): A
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