Learning system PN : communication

a nurse is caring for a client who has major depressive disorder. the client tells the nurse, "don't bother me. find someone else to talk with. I don't have anything worth saying. Go find someone you can help." which of the following statements should the nurse make?

"I would like to sit quietly with you for a while."

a nurse is caring for an older adult client who dies during the night while his partner is at his side. the partner says, "I cant believe he's gone." which of the following responses should the nurse make?

"It must be hard to accept that this has happened."

a nurse is caring for a 13 year old female client who is admitted for an emergency appendectomy. while the nurse is reinforcing preoperative teaching, the client says, "will I have a large scar from the surgery?" which of the following responses should the nurse make?

"It will be small enough that it wont show when you're wearing a bathing suit."

an emergency department nurse takes a telephone call from a client who states, "I have just taken 100 amitriptyline tablets to kill myself." the client is crying and says, "I want to die. I have no reason to live." which of the following responses should the nurse make?

"Please stay on the phone with me so we can talk about your feelings."

a nurse is caring for a client following a fetal demise. the client is crying and says, "I tried to get pregnant for so long. my partner and I wanted this baby so much, now what will we do?" which of the following responses should the nurse make?

"are you feeling overwhelmed?"

a nurse is caring for a client who is a sexual assault survivor. the client says, "I feel so humiliated, I don't want anyone to know what happened to me." which of the following responses should the nurse make?

"are you saying that you are fearful about what others will think?"

a nurse is caring for a client who had a spontaneous miscarriage at 9 weeks of gestation. the nurse walks into the clients room and finds her crying uncontrollably. which of the following statements should the nurse make?

"it is hard to deal with the loss of a pregnancy. here is the number of a local support group that you can attend."

a nurse is caring for a client who has type 1 diabetes mellitus and is to receive hemodialysis. The client says, "I don't even know why I'm doing this. there is no cure." which of the following statements should the nurse make?

"it sounds as though you have given up."

a nurse is caring for a client who has a suspected brain tumor and is scheduled for a computerized axial tomography scan (CAT). When the procedure is explained, the client expresses fear about entering the enclosed space of the scanner. which of the following statements should the nurse make?

"let me review some breathing exercises with you."

a nurse is caring for a client who has leukemia. the client says, "the doctor told me that my condition is too severe to be treated successfully. I guess I don't have long to live." which of the following responses should the nurse make?

"lets talk about how you are feeling about this information."

a nurse is making morning rounds when a client says, "I almost died last night." which of the following responses should the nurse make?

"that must have been frightening, tell me more about it."

a nurse is caring for a client who has been recently diagnosed with cancer. the client says, "I would rather die than go through the treatment for cancer." which of the following responses should the nurse make?

"what is it that concerns you about the cancer treatment?"

a nurse is reinforcing teaching with a client about how to perform personal ileostomy care prior to discharge. the client says, "I don't think that I am going to be able to take care of this myself." which of the following responses should the nurse make?

"what part of the ileostomy care are you having trouble with?"

the adult child of a client has come to take his patient home from a facility following a colon resection. the clients son tells the nurse, "I don't know how I am going to take care of my mom now." which of the following responses should the nurse make?

"what part of your mothers care are you concerned about?"

a nurse is caring for an older adult client who is to undergo surgery for a hip fracture. the client says, "I guess I've lived long enough , and it is my time." which of the following responses should the nurse make?

"you feel that your life is ending?"

a nurse is caring for an adolescent client who has a positive human chorionic gonadotropin (hCG) test. she tells the nurse, "I don't think I can tell my parents that I am pregnant." which of the following responses should the nurse give?

"you seem frightened to tell your parents."

a nurse is caring for an adolescent client who was recently diagnosed with testicular cancer. when the nurse asks the client a question, he angrily spits in the nurses face. which of the following responses should the nurse make?

"you seem to be very upset."

a nurse is caring for a client who has recently found out that she is pregnant. the client says, "I don't think I should tell my partner about the pregnancy." which of the following responses should the nurse make?

"you seem uncertain about telling your partner."

an assistive personnel is bathing a client who is unconscious and is talking to him about current events and the weather. the client's partner says to the nurse, "why does the assistive personnel talk to my husband? he's unconscious." which of the following responses should the nurse make?

"your husband is unconscious but might still be able to hear."

a client is scheduled for a lumbar puncture to rule out bacterial meningitis. she tells the nurse that she is fearful of becoming paralyzed from the needle being placed into her spinal column. which of the following responses should the nurse make?

'the needle is inserted below the third lumbar vertebrae, well below the point at which the spinal cord ends."