Question

A client comes to the clinic reporting heart pounding and trouble sleeping. The nurse learns that the client has recently started a new job with expanded responsibilities. Which response by the nurse is best?

A) "It's normal to feel anxious when starting a new job."
B) "You appear to have concerns about your job performance."
C) "Have you talked to your family about your concerns?"
D) "You could benefit from ongoing counseling."

Answer 1

The nurse's best response to a client reporting heart pounding and trouble sleeping after starting a new job with more responsibilities would be to normalize the experience, mentioning that it's common to feel anxious in such new and challenging situations.

Step-by-step explanation:

A client who reports symptoms such as heart pounding and trouble sleeping upon starting a new job with expanded responsibilities is likely experiencing stress related to the new work environment. The best response by the nurse, in this case, would be A) "It's normal to feel anxious when starting a new job." This response validates the client's feelings and normalizes the emotional turmoil frequently associated with new professional challenges. It's important for the client to understand that stress can manifest through various physical symptoms and that short-term anxiety is common in new, high-pressure situations. However, if these symptoms are sustained over a long period, they could be detrimental to health.

The nurse may also encourage the client to observe and adapt to the new workplace culture, a tactic which can help in reducing stress and anxiety. This process includes understanding the unwritten rules and the behavior of colleagues, which can help in smooth navigation of the new work environment. It's also suggested to discuss concerns with family or friends for support, or consider counseling if stress affects one's daily functioning.