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Examen

NCLEX REVIEW RHEUMATOID ARTHRITIS & OSTEOARTHRITIS QUESTIONS AND VERIFIED ANSWERS

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NCLEX REVIEW RHEUMATOID ARTHRITIS & OSTEOARTHRITIS QUESTIONS AND VERIFIED ANSWERS

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The client with rheumatoid arthritis tells the nurse, "I have a friend who took gold
shots and had a wonderful response. Why didn't my physician let me try that?" Which
of the following responses by the nurse would be most appropriate?
1. "It's the physician's prerogative to decide how to treat you. The physician has chosen
what is best for your situation."
2. "Tell me more about your friend's arthritic condition. Maybe I can answer that
question for you."
3. "That drug is used for cases that are worse than yours. It wouldn't help you, so don't
worry about it."
4. "Every person is different. What works for one client may not always be effective for
another."


Give this one a try later!

, 4.
The nurse's most appropriate response is one that is therapeutic. The basic
principle of therapeutic communication and a therapeutic relationship is
honesty. Therefore, the nurse needs to explain truthfully that each client is
different and that there are various forms of arthritis and arthritis treatment.
To state that it is the physician's prerogative to decide how to treat the
client implies that the client is not a member of his or her own health care
team and is not a participant in his or her care. The statement also is
defensive, which serves to block any further communication or questions
from the client about the physician. Asking the client to tell more about the
friend presumes that the client knows correct and complete information,
which is not a valid assumption to make. The nurse does not know about
the client's friend and should not make statements about another client's
condition. Stating that the drug is for cases that are worse than the client's
demonstrates that the nurse is making assumptions that are not necessarily
valid or appropriate. Also, telling the client not to worry ignores the
underlying emotions associated with the question, totally discounting the
client's feelings.




A client with rheumatoid arthritis tells the nurse, "I know it is important to exercise my
joints so that I won't lose mobility, but my joints are so stiff and painful that exercising
is difficult." Which of the following responses by the nurse would be most
appropriate?
1. "You are probably exercising too much. Decrease your exercise to every other day."
2. "Tell the physician about your symptoms. Maybe your analgesic medication can be
increased."
3. "Stiffness and pain are part of the disease. Learn to cope by focusing on activities
you enjoy."
4. "Take a warm tub bath or shower before exercising. This may help with your
discomfort."


Give this one a try later!


4.
Superficial heat applications, such as tub baths, showers, and warm
compresses, can be helpful in relieving pain and stiffness. Exercises can be
performed more comfortably and more effectively after heat applications.
The client with rheumatoid arthritis must balance rest with exercise every

Información del documento

Subido en
9 de junio de 2026
Número de páginas
14
Escrito en
2025/2026
Tipo
Examen
Contiene
Preguntas y respuestas
$10.50

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