A client has been taking 1,200 mg a day of St. John’s wort for the past year for symptoms of depression. Recently, the client has complained of side effects from this herbal remedy. Which symptom should the nurse expect the client to report?

Restlessness

Hirsutism

Photosensitivity

Insomnia

Answer and Explanation

The Correct Answer is C

Choice A reason: Restlessness is not a common side effect of St. John’s wort. While some herbal remedies may cause mild agitation, this is not a primary adverse effect associated with this herb.

Choice B reason: Hirsutism, or excessive hair growth, is unrelated to St. John’s wort. This side effect is more commonly associated with hormonal imbalances or certain medications, not herbal antidepressants.

Choice C reason: Photosensitivity is a well-documented side effect of St. John’s wort. The herb increases sensitivity to sunlight, which can result in skin reactions such as rashes or burns. Clients taking this remedy should be advised to use sun protection and avoid prolonged sun exposure.

Choice D reason: Insomnia can occur with some antidepressants, but it is not a primary adverse effect of St. John’s wort. The herb is more commonly associated with photosensitivity rather than sleep disturbances.

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Correct Answer is A

Explanation

Choice A reason: A talkative client can be a barrier to effective communication if they dominate the conversation, preventing the nurse from gathering necessary information or addressing key concerns. Communication must be balanced to ensure mutual understanding.

Choice B reason: Maintaining eye contact is a facilitator of effective communication. It conveys attentiveness, respect, and engagement.

Choice C reason: Active listening is a therapeutic communication technique. It ensures the nurse understands the client’s concerns and validates their feelings.

Choice D reason: A cooperative client enhances communication. Cooperation fosters trust and openness, allowing for effective exchange of information.

A. “You need to take the pain medication because you are in hospice.” B. “Would you rather not receive any care or treatment?” C. “Tell me more about why you do not want pain medication?” D. “Maybe you should not be in hospice if you do not have any pain.”

Correct Answer is C

Explanation

Choice A reason: This statement is authoritative and dismisses the client’s autonomy and feelings. It can create resistance and does not foster a therapeutic nurse-client relationship.

Choice B reason: This statement presents a false dichotomy, implying that refusing pain medication equates to rejecting all care. It can increase anxiety and is not therapeutic.

Choice C reason: Asking the client to explain their reasoning is a therapeutic approach that promotes open communication, respects client autonomy, and allows the nurse to explore underlying concerns and provide appropriate support or education.

Choice D reason: This statement is judgmental and potentially threatening, which can damage trust and does not address the client’s feelings or needs. It is non-therapeutic and inappropriate in hospice care.

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A client has been taking 1,200 mg a day of St. John’s wort for the past year for symptoms of depression. Recently, the client has complained of side effects from this herbal remedy. Which symptom should the nurse expect the client to report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is an example of a barrier to effective communication?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving hospice care and refusing pain medication. Which response by the nurse is therapeutic?

Correct Answer is C

Explanation

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