NCLEX-PN

Category - Psychosocial Integrity

The nurse is assigned to care for a female client who is immobilized following a motor vehicle accident. The client informs the nurse not to let anyone inside the room, including her family members. The most appropriate response of the nurse is which of the following statements?
  1. “I understand how you feel. I will let them know about your decision.”
  2. “You do not want to see your family? What are your fears?”
  3. “Your family has never left your side since the accident. Why are you shutting them out of your life?”
  4. “Can you just see one of your family members to let them know what your thoughts are?”
Explanation
Answers - B - Encouraging verbalization of fears, thoughts, and feelings helps the client to work on her concerns related to the condition. Option A demonstrates empathy; however, exploring the client’s feelings and thoughts are the priority of the nurse at this time. Promoting guilt and suggesting, as demonstrated in option C and D, respectively, are non-therapeutic.
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