A client with myxedema has changes in intellectual function such as impaired memory, decreased attention span, and lethargy. Which nurse statement is helpful to the client's husband?

• A. "Give it time. I've seen dozens of clients with this problem that fully recover."
• B. "I don't blame you for being frustrated, because the symptoms will only get worse."
• C. "Would you like me to ask the health care provider for a prescription for a stimulant?"
• D. "It's seems that you are concerned about your wife's condition, but the symptoms may improve with continued therapy."

Answer: (D)

The main idea being tested is how to communicate with a family member about prognosis and support in a patient with myxedema and cognitive changes. In severe hypothyroidism, cognitive symptoms like impaired memory and inattention can improve as thyroid hormone therapy is started and progresses, though improvement may be gradual and not instantaneous.

The best nurse statement acknowledges the husband's concern and provides a realistic, supportive expectation: the symptoms may improve with continued therapy. It validates emotions, avoids false guarantees, and aligns with the typical course of treatment for myxedema.

Other responses fall short: one offers an unfounded guarantee of full recovery, another expresses frustration and predicts worsening, and another incorrectly suggests stimulant medication. The empathetic, hopeful, and accurate message is the most helpful for the husband and the patient.