CRNE Exam Prep

Category - Changes in Health

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A client asks the nurse if she can hear the voice of a woman who is giving her some important orders. The nurse’s most appropriate response is:

“No, I don’t hear her. No one is in your room except you and me.”
“No, I don’t hear her, but I know you do. What is she telling you?”
“What is she instructing you to do? Are the orders demanding? ”
“Yes, I hear her. Tell her to leave you alone. If she talks to you again, ignore her.”

Explanation

Answer: B - This response emphasizes reality and at the same time, conveys support. Arguing with the client can embed her belief more firmly, causing the client to feel more out of control. The other responses are non-therapeutic.

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