Practice Quiz

NCLEX-RN

Category - Psychosocial

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A client asks the nurse if she can hear the voice of a woman, giving her some important orders. The nurse’s most appropriate response is:
  1. “No, I don’t hear her. No one is in your room except you and me.”
  2. “No, I don’t hear her, but I know you do. What is she telling you?”
  3. “What is she instructing you to do? Are the orders demanding? ”
  4. “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 a client can embed his belief more firmly, causing him to feel more out of control. The other responses are nontherapeutic.
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