Nokea
During her prenatal checkup, a patient begins to cry as the nurse asks her about previous pregnancies. The patient says that she is remembering her last pregnancy, which ended in miscarriage. The nurse's best response to her crying would be:
- A. "I'm so sorry for making you cry!"
- B. "I can see that you are sad remembering this. It is all right to cry."
- C. "Why don't I step out for a few minutes until you're feeling better?"
- D. "I can see that you feel sad about this; why don't we talk about something else?"
Correct Answer: B
Rationale: The correct answer is B because it shows empathy and validation towards the patient's emotions. By acknowledging the patient's sadness and giving her permission to cry, the nurse creates a safe and supportive environment. This response helps the patient feel understood and accepted, facilitating emotional expression and potentially leading to a deeper therapeutic relationship.
Choice A is incorrect because it focuses on the nurse's discomfort rather than the patient's feelings. Choice C is incorrect as it may come across as dismissive of the patient's emotions. Choice D is incorrect as it suggests avoiding the topic rather than addressing the patient's feelings directly.
You may also like to solve these questions
A nurse is teaching a patient with diabetes about the importance of controlling blood glucose levels. Which of the following statements by the patient indicates the need for further education?
- A. I will monitor my blood sugar regularly.
- B. I can stop taking my insulin when my blood sugar is normal.
- C. I will eat a balanced diet and exercise regularly.
- D. I will avoid sugary foods to manage my blood sugar.
Correct Answer: B
Rationale: The correct answer is B because stopping insulin when blood sugar is normal can lead to hyperglycemia.
A: Monitoring blood sugar is essential for diabetes management.
C: Eating balanced diet and exercising help control blood sugar levels.
D: Avoiding sugary foods is important to manage blood sugar.
A nurse is caring for a patient with chronic heart failure. Which of the following interventions should the nurse prioritize?
- A. Administering diuretics as prescribed.
- B. Encouraging increased fluid intake.
- C. Restricting sodium intake.
- D. Administering pain medications as needed.
Correct Answer: A
Rationale: The correct answer is A: Administering diuretics as prescribed. Diuretics help reduce fluid retention in patients with heart failure, relieving symptoms like edema and shortness of breath. Prioritizing diuretics can help manage the patient's fluid balance and improve heart function. Encouraging increased fluid intake (B) is contraindicated as it can worsen fluid overload. Restricting sodium intake (C) is important in heart failure management but not the top priority over administering diuretics. Administering pain medications (D) is not a priority intervention for chronic heart failure management.
A nurse is caring for a patient with chronic heart failure. The nurse should monitor for which of the following signs of worsening heart failure?
- A. Fatigue and shortness of breath.
- B. Increased urine output.
- C. Decreased blood pressure.
- D. Pitting edema and weight gain.
Correct Answer: D
Rationale: The correct answer is D: Pitting edema and weight gain. In chronic heart failure, worsening symptoms indicate fluid retention. Pitting edema in the extremities and weight gain are signs of fluid overload, indicating worsening heart failure. It is crucial for the nurse to monitor these signs to prevent exacerbation. Fatigue and shortness of breath (Choice A) are common symptoms in heart failure but not specific to worsening condition. Increased urine output (Choice B) is not typically seen in worsening heart failure as the kidneys may be compromised. Decreased blood pressure (Choice C) can occur in acute decompensation but is not a consistent sign of worsening chronic heart failure.
In obtaining a review of systems on a "healthy" 7-year-old girl, the health care provider knows that it would be important to include the:
- A. last glaucoma examination.
- B. frequency of breast self-examination.
- C. date of her last electrocardiogram.
- D. limitations related to her involvement in sports activities.
Correct Answer: D
Rationale: The correct answer is D because obtaining information on the limitations related to the girl's involvement in sports activities is crucial for assessing her overall physical health and well-being. This information helps in understanding any potential risks or issues that may arise from her participation in sports. Choices A, B, and C are incorrect as they are not relevant to a review of systems for a healthy 7-year-old girl. Glaucoma examination, breast self-examination frequency, and electrocardiogram date are not typically part of a routine review of systems for a child of her age and health status.
A nurse is caring for a patient who is post-operative following a knee replacement. The nurse should monitor for signs of which of the following complications?
- A. Pulmonary embolism.
- B. Gastrointestinal bleeding.
- C. Deep vein thrombosis (DVT).
- D. Hypoglycemia.
Correct Answer: C
Rationale: The correct answer is C: Deep vein thrombosis (DVT). After knee replacement surgery, the patient is at a higher risk for developing DVT due to immobility and altered blood flow. Monitoring for signs such as calf pain, swelling, and redness is crucial to prevent complications like pulmonary embolism. Pulmonary embolism (Choice A) is a potential complication of untreated DVT. Gastrointestinal bleeding (Choice B) is not directly related to knee replacement surgery. Hypoglycemia (Choice D) is not a common complication post-knee replacement. Monitoring for DVT is essential in preventing life-threatening complications for the patient.