Difficulty: Medium
Average Score: 88%
Simulated
The client tells the nurse, ÔÇ£Most days, I am so happy I am pregnant, but other days, I am not sure that I am ready to have a baby.ÔÇØ Which is the most accurate response from the nurse?
Correct answer
C
Rationale
It is most therapeutic to acknowledge the clientÔÇÖs feelings and probe for more information on her thoughts and feelings about the pregnancy. Not all clients consider pregnancy a happy time in their lives, and the nurse should never tell the client how to feel. The nurse should not divert the clientÔÇÖs concerns away from self by bringing up the fatherÔÇÖs adaptation to the pregnancy, even though paternal adaptation is related to maternal adaptation. The client may not be able to identify why she has the feelings she is experiencing or how the nurse can make her feel better. This response does not provide an avenue for further exploration of the clientÔÇÖs concerns.