NCLEX^® QUESTION OF THE WEEK

Question of the Week – July 20, 2022

July 20, 2022

The nurse assists in admitting a client who is demonstrating right-sided weakness, aphasia, and urinary incontinence. The woman’s daughter states, “If this is a stroke, it’s the kiss of death.” What initial response should the nurse make?

Show Answer Answer

Correct! The answer is number 2

Rationale:

Answer: 2

Rationale: Option 2 allows the daughter to verbalize her feelings, begin coping, and adapt to what is happening. By restating, the nurse seeks clarification of the daughter’s feelings and offers information that potentially helps ease some of the fears and concerns related to the client’s condition and prognosis. Option 1 is a disapproving comment that is likely to interfere with communication. Option 3 is potentially misleading and offers false hope. The nurse could reflect back the statement in option 4 to the daughter to promote communication. However, as it stands, option 4 is a barrier to communication that contradicts the daughter’s feelings.

Additional Info:

Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Caring
Content Area: Foundations of Care: Communication
Health Problem: Adult Health: Neurological: Stroke

Practice Question Sourced From: Saunders Q & A Review for the NCLEX-PN® Examination, 5th Edition