Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A female client tells the care provider that she feels very angry about her recent divorce.
Which is the care provider's best response?
A. "Most people experience strong feelings after a divorce.
this response is dismissive and invalidating since it suggests that anger is a normal and expected feeling hence the client should not feel bad about it.
B. “I know exactly how you feel.”
this statement is presumptuous and doesn’t offer help to the patient. Furthermore, the care provider should understand that everyone’s experience and reaction after a divorce is different.
C. “I know this must be difficult for you."
this statement empathizes with the client’s feelings and emotions without making them feel judged and guilty for expressing their emotions. It also allows the client to share more about their experience if she wishes.
D. “Look on the bright side. You will be glad you divorced him in a couple of years.”
this response is very unrealistic and disrespectful since it does not address the patient’s feelings and emotions about the divorce but instead it tries to impose a positive outlook on her.
This question is an excerpt from Nurse Dive's nursing test bank - ATI ns 130 Exam Psychosocial Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale: this response is dismissive and invalidating since it suggests that anger is a normal and expected feeling hence the client should not feel bad about it.
Choice B rationale: this statement is presumptuous and doesn’t offer help to the patient. Furthermore, the care provider should understand that everyone’s experience and reaction after a divorce is different.
Choice C rationale: this statement empathizes with the client’s feelings and emotions without making them feel judged and guilty for expressing their emotions. It also allows the client to share more about their experience if she wishes.
Choice D rationale: this response is very unrealistic and disrespectful since it does not address the patient’s feelings and emotions about the divorce but instead it tries to impose a positive outlook on her.
Similar Questions
The nurse observes the client as he paces the floor and talks to himself. The nurse documents this as "Client confused and agitated." This is an example of
A. An observation
An observation is a factual statement of what the nurse sees, hears, feels, or smells.
B. A judgment
This is because the nurse is interpreting the client's behavior and not describing it objectively.
C. Subjective data
subjective data is information that the client tells the nurse, such as feelings, perceptions, or opinions.
D. Objective data
Objective data is information that the nurse obtains through physical examination, tests, or measurements.
Full Explanation
Choice A rationale: An observation is a factual statement of what the nurse sees, hears, feels, or smells.
Choice B rationale: This is because the nurse is interpreting the client's behavior and not describing it objectively.
Choice C rationale: subjective data is information that the client tells the nurse, such as feelings, perceptions, or opinions.
Choice D rationale: Objective data is information that the nurse obtains through physical examination, tests, or measurements.
Lability is described as a rapid change in emotions. True or False
A. True
B. False
Full Explanation
Lability refers to the rapid and unpredictable shift in an individual’s emotional states, for instance, an individual may move from laughing to crying within a span of seconds with no apparent reason. This may affect the individual’s ability to function and cope with daily life, as well as their relationships with others. It is caused by conditions such as brain injury, neurological disorders, mood disorders, or substance abuse.
The nurse should monitor the temperature of the environment of a client who becomes easily agitated, with awareness that increased temperatures sometimes may cause the client to become:
A. Calm
High temperatures do not usually cause people to become calm unless they are suffering from heat exhaustion or heat stroke, which are medical emergencies.
B. Depressed
depression is usually associated with low temperatures and reduced sunlight exposure rather than high temperatures.
C. Agitated
high temperatures is associated with arousal and agitation in some individuals which may be due to the effects of heat on the individual’s nervous system, cardiovascular, and endocrine systems.
D. Confused
confusion is not usually associated with confusion. However, it may result in confusion in older adults and individuals with other underlying conditions.
Full Explanation
Choice A rationale: High temperatures do not usually cause people to become calm unless they are suffering from heat exhaustion or heat stroke, which are medical emergencies.
Choice B rationale: depression is usually associated with low temperatures and reduced sunlight exposure rather than high temperatures.
Choice C rationale: high temperatures is associated with arousal and agitation in some individuals which may be due to the effects of heat on the individual’s nervous system, cardiovascular, and endocrine systems.
Choice D rationale: confusion is not usually associated with confusion. However, it may result in confusion in older adults and individuals with other underlying conditions.