A client diagnosed with chronic migraine headaches is considering acupuncture. The client asks a clinic nurse, "How does this treatment work?” Which is the best response by the nurse?
“Your acupuncturist is the best resource for answering your specific questions.”
“Acupuncture works by encouraging the body to increase its production of serotonin and norepinephrine.”
“Western medicine believes that acupuncture stimulates the body’s release of pain-fighting chemicals called endorphins.”
“I’m not sure why they suggested acupuncture. There are a lot of risks, including HIV.”
The Correct Answer is C
Choice A reason: Referring the client back to the acupuncturist avoids answering the question and does not provide therapeutic communication. Nurses should give accurate, evidence-based information when asked about treatments.
Choice B reason: While serotonin and norepinephrine are involved in pain modulation, acupuncture is not specifically known to increase their production. This explanation is misleading and not supported by evidence.
Choice C reason: Western medicine explains acupuncture as stimulating the release of endogenous opioids such as endorphins, which reduce pain perception. This is the most accurate and evidence-based explanation, making it the correct answer.
Choice D reason: Suggesting HIV risk is inappropriate and inaccurate. Acupuncture performed with sterile, disposable needles carries minimal risk of infection. This response is fear-inducing and unprofessional.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Sharing positive memories is part of reminiscence therapy, but the therapeutic goal is broader—resolution of life conflicts and integration of experiences.
Choice B reason: Simply chatting about past events and future plans lacks the structured therapeutic intent of reminiscence therapy.
Choice C reason: Creating collages may be used in art therapy, not reminiscence therapy.
Choice D reason: Reminiscence therapy involves structured sharing of significant life memories to promote resolution, acceptance, and emotional well-being, especially in older adults.
Correct Answer is B
Explanation
Choice A reason: Asking “why” questions can be perceived as confrontational and may increase defensiveness. It does not validate feelings or provide therapeutic support.
Choice B reason: This is the most therapeutic response. It acknowledges the client’s emotional state without reinforcing delusions. By focusing on feelings rather than the delusional content, the nurse promotes trust and opens dialogue for supportive intervention.
Choice C reason: This response directly challenges the delusion by offering reassurance that is not based on reality. It risks escalating agitation because it contradicts the client’s fixed belief.
Choice D reason: Confronting the delusion directly by stating it has no basis in fact is not therapeutic. Clients with psychosis are unlikely to accept reality testing in the moment, and this approach may increase hostility or mistrust.
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