A client asks the nurse why he has to go to therapy and cannot just take his prescribed antidepressant medication. What would be the most therapeutic response by the nurse?
"Do you have reservations about going to therapy?"
"Medications help your brain function better, but the therapy helps you achieve lasting behavior change."
"Both are recommended. Since your insurance covers both, that is the best plan for you."
"The effects of medications will not last forever. You will need to eventually learn to function without them."
The Correct Answer is B
Choice A reason: Asking about reservations is open-ended but does not directly address the client’s concern. While it may encourage discussion, it does not provide therapeutic education about the role of therapy.
Choice B reason: This is the most therapeutic response because it explains the complementary roles of medication and therapy. Antidepressants correct neurochemical imbalances, but therapy addresses thought patterns, coping skills, and long-term behavioral change. This empowers the client with understanding and emphasizes the importance of combined treatment.
Choice C reason: Referring to insurance coverage is not therapeutic. It focuses on financial logistics rather than the clinical rationale for therapy.
Choice D reason: Suggesting that medication effects will not last forever may increase anxiety and resistance. It does not provide supportive education and may feel dismissive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Early morning awakening with inability to return to sleep is a classic symptom of insomnia. It reflects difficulty maintaining sleep and is often seen in depression-related insomnia.
Choice B reason: Difficulty falling asleep is a hallmark feature of insomnia. Clients often report lying awake for long periods before sleep onset.
Choice C reason: Difficulty maintaining sleep, such as frequent awakenings during the night, is another common symptom of insomnia. It disrupts sleep continuity and contributes to daytime fatigue.
Choice D reason: Difficulty sleeping 10 hours a night is not a symptom of insomnia. Sleeping excessively may indicate hypersomnia or another disorder, but insomnia is defined by insufficient or poor-quality sleep, not difficulty sleeping for extended periods.
Correct Answer is A
Explanation
Choice A reason: Paranoid personality disorder is defined by a pervasive pattern of distrust and suspicion of others. Individuals with this disorder often interpret others’ motives as malevolent, are hypervigilant, and may hold grudges. They frequently misinterpret benign remarks or actions as threatening, which aligns directly with the description in the question.
Choice B reason: Dependent personality disorder is characterized by excessive reliance on others for emotional support and decision-making. These individuals fear abandonment and struggle with self-confidence. While dependency is a hallmark, mistrust and suspicion are not features of this disorder, making it incorrect in this context.
Choice C reason: Schizoid personality disorder involves detachment from social relationships and a limited range of emotional expression. Individuals with this disorder prefer solitary activities and show little interest in forming close relationships. Although they are socially withdrawn, they are not typically suspicious or mistrustful of others, so this does not match the question.
Choice D reason: Histrionic personality disorder is marked by excessive emotionality and attention-seeking behavior. Individuals often display dramatic, theatrical expressions and seek approval from others. Suspiciousness and pervasive mistrust are not characteristics of this disorder, making it an incorrect choice.
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