A client with major depressive disorder says to the nurse. 1 don't think I can go on living like this anymore." Which of the following responses by the nurse demonstrate nontherapeutic communication techniques? (Select all that apply.)
"Try not to think about it. Things always work out in the end."
"Have you thought about how this will affect your family?
"You shouldn't talk like that-you have so much to live for."
"Why would you feel like that when you have people who care about you?
"Let's talk about what's making you feel this way."
Correct Answer : A,B,C,D
Rationale:
A. This response uses false reassurance, which minimizes the client's feelings and discourages expression.
B. This response can induce guilt and shame, which is nontherapeutic and may worsen the client’s distress.
C. Telling the client they "shouldn't talk like that" is judgmental and invalidates their emotional experience.
D. Asking “why” questions can feel confrontational or accusatory and may lead the client to shut down emotionally.
E. This response is therapeutic—it invites open discussion and helps the client explore their feelings in a supportive, nonjudgmental way.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. According to Freud, oral fixation stems from issues during the oral stage (birth to 18 months), and it may manifest in behaviors involving the mouth, such as smoking, overeating, drinking, or nail-biting.
B. While dependency may be related, it's more generalized and not the most specific indicator of oral fixation.
C. These are characteristic of anal fixation, associated with the anal stage (1–3 years), often due to strict toilet training.
D. Rebelliousness and authority issues are more aligned with adolescent psychosocial development (e.g., Erikson’s identity vs. role confusion), not Freud’s oral stage.
Correct Answer is D
Explanation
Rationale:
A. Anger may involve blaming others or expressing frustration, not withdrawal and hopelessness.
B. Denial typically involves difficulty believing the loss occurred, not the low mood and physiological symptoms described.
C. Acceptance involves beginning to plan for the future, which is inconsistent with the client's current hopelessness and withdrawal.
D. The client's symptoms are consistent with the depression stage of grief. The appropriate intervention is to offer empathetic support and assess for suicidal ideation or risk of self-harm, ensuring safety while providing emotional care.
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