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    Hesi lpn exit proctored examQuestion 276
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    Hesi lpn exit proctored exam

    A chronically depressed older male resident of a long-term care facility has become more reclusive and today refuses to leave his room. His family has moved away and are unable to visit as much as in the past. Which comment by the practical nurse (PN) is likely to be most helpful to this client?

    Explanation & Rationale

    A. "Come into the recreation area. We have your favorite card game and I will play it with you.": While offering an activity may seem helpful, it may feel overwhelming or pushy to a reclusive, depressed resident. B. "May I sit with you for a while?": Sitting quietly together can help build trust, provide emotional support, and encourage gradual social interaction, which is most appropriate for someone who is withdrawn and experiencing chronic depression. C. "I know you are sad about not seeing your family as often, but they are visiting as much as they can.": Attempting to rationalize the client’s feelings may minimize his emotional experience. While factual, this statement may feel dismissive of his grief. D. "Why do you want to stay in your room today?": Asking “why” questions can feel confrontational or judgmental to a depressed and withdrawn resident. It may prompt defensiveness rather than encourage meaningful communication or provide comfort.

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