Difficulty: Medium
Average Score: 94%
Simulated
A nurse notices that a client who has moderate anxiety is pacing the corridor and rambling. As the nurse approaches, the client states, 'I am at the end of my rope. I don't think I can take any more bad news.' Which of the following responses should the nurse make?
Correct answer
A
Rationale
The correct answer is A: "Come with me to an area where we can talk without interruption." This response demonstrates active listening, empathy, and a willingness to provide support. By offering a private space for the client to express their feelings, the nurse can establish trust and create a therapeutic environment for effective communication and problem-solving. This approach allows the nurse to assess the client's needs, provide emotional support, and potentially de-escalate the situation.
Incorrect responses:
B: Providers usually recommend relaxation exercises for clients who are as upset as you are.
- This response may come across as dismissive and not address the client's immediate concerns.
C: An antianxiety pill works best for situations like this.
- Jumping to medication without proper assessment and exploration of coping strategies may not be appropriate.
D: Most clients with anxiety issues benefit from lying down.
- This response is generalized and does not consider the individual client's preferences or needs.
Incorrect responses:
B: Providers usually recommend relaxation exercises for clients who are as upset as you are.
- This response may come across as dismissive and not address the client's immediate concerns.
C: An antianxiety pill works best for situations like this.
- Jumping to medication without proper assessment and exploration of coping strategies may not be appropriate.
D: Most clients with anxiety issues benefit from lying down.
- This response is generalized and does not consider the individual client's preferences or needs.