Practice Question
While caring for a client, the client states, "The family would be better off without my child and me." The nurse knows that the client has a teenage child with severe disabilities requiring constant care. Which statement does the nurse provide? Select all that apply.
Answer Choices:
Correct Answer:
"It sounds as though you are sad and exhausted from providing the care your child needs."
Rationale:
“It sounds as though you are sad and exhausted from providing the care your child needs.”
⏺️Uses therapeutic communication by reflecting feelings and content, which validates the client’s experience and promotes trust.
⏺️Avoids judgment, why-questions, and premature problem-solving, decreasing defensiveness and encouraging deeper disclosure.
⏺️Aligns with trauma-informed care and patient-centered care (QSEN) by acknowledging emotional burden and caregiver fatigue.
⏺️Facilitates assessment of depression, burnout, and caregiver strain, which are high-risk in parents of children with complex needs.
⏺️Creates a safe bridge to risk screening and resource linkage (respite services, social work, counseling) without minimizing the client’s distress.
⏺️Therapeutic empathy is associated with improved engagement, alliance, and adherence to follow-up care.
“Are you thinking of hurting your child or yourself after discharge?”
⏺️Prioritizes immediate safety by directly assessing suicidal/homicidal ideation, which is the first clinical priority after a cue of despair.
⏺️Direct, non-euphemistic questions are evidence-based; they do not increase risk and yield the most accurate safety information.
⏺️Clarifies intent, plan, means, and timeframe, guiding decisions on one-to-one observation, means restriction, or emergency referral.
⏺️Meets legal and ethical duties to protect the client and others (child), supporting appropriate documentation and escalation.
⏺️Enables rapid coordination with interprofessional resources (psychiatry, social work, child protective services when indicated).
⏺️Conducted privately and calmly, it centers dignity while ensuring timely intervention to prevent harm.
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This question is from PN Exit-Retake- September 2025 which contains 148 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exit Exam(s)
- Domain: Exit Exam(s)~2025
- Answer Choices: 5