The nurse is planning interventions for a client with a chronic ...

[Shelles]

The nurse is planning interventions for a client with a chronic illness who is experiencing stress. Which of the following would be appropriate for this client?
 
  1. Inform the client that others have the responsibility for addressing her stress.
  2. Inform the client about diet, exercise, and medications to help with her stress.
  3. Remind the client that keeping a journal is not a good use of time.
  4. Encourage the client to remain isolated until the stress passes.

Question 2

A client is asked to participate in a research study. The client does not want to participate but does not want to seem unwilling to receive treatment for an illness. Which of the following should the nurse explain to this client?
 
  1. Negative effects from research rarely occur.
  2. It is an honor to be asked to participate in a research study.
  3. Refusing to participate is the client's right.
  4. The physician wants the client to participate.

[smrtceo]

Answer to Question 1

2
Interventions to assist a client with a chronic illness who is experiencing stress include informing the client she has the responsibility for addressing her stress; informing the client about diet, exercise, and medications to help with her stress; encouraging the client to keep a journal to monitor progress; and encouraging the client to seek social support and avoid isolation.

Answer to Question 2

3
The nurse needs to support the client's right to autonomy and explain that the client has the right to refuse participation in the research study. There is no guarantee that negative effects from the research study will not occur. The nurse should not persuade the client by stating that it is an honor to be asked to participate or that the physician wants the client to participate.