A client with MDD tells the nurse, "I just can't see any way out of this. Life is hopeless." Which therapeutic response should the nurse provide?

"Don't worry, things will get better soon.".

"I know how you feel. I've been there too.".

"It sounds like you're feeling really hopeless right now.".

"You need to focus on the positive aspects of life.".

Answer and Explanation

The Correct Answer is C

Choice C rationale:

Responding with, "It sounds like you're feeling really hopeless right now," is an empathetic and therapeutic response. It reflects active listening and shows that the nurse acknowledges the client's feelings without making assumptions or offering false reassurance. This response validates the client's emotions and opens the door for further discussion, potentially leading to better understanding and support.

Choice A rationale:

Responding with, "Don't worry, things will get better soon," is dismissive and invalidating. It minimizes the client's feelings and offers premature reassurance without addressing the client's current emotional state.

Choice B rationale:

Responding with, "I know how you feel. I've been there too," shifts the focus from the client to the nurse. While sharing personal experiences can be helpful in certain contexts, it's important to prioritize the client's emotions and experiences first.

Choice D rationale:

Responding with, "You need to focus on the positive aspects of life," is directive and dismissive of the client's emotions. It implies that the client's feelings are invalid and suggests a solution without fully understanding the client's perspective.

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Correct Answer is D

Explanation

Choice A rationale:

The patient's thought content and organization. Rationale: While monitoring thought content and organization is important in psychiatric assessment, it is not directly related to observing and documenting the patient's mood state. Thought content and organization involve assessing the coherence, relevance, and logic of the patient's thoughts, which can provide insights into their cognitive functioning and potential psychiatric conditions like schizophrenia.

Choice B rationale:

The patient's physical vital signs and laboratory tests. Rationale: This choice is unrelated to the assessment of the patient's mood state. Vital signs and laboratory tests are essential in medical assessments, but when evaluating a patient with bipolar disorder, the focus should be on their psychological and emotional state rather than physical parameters.

Choice C rationale:

The patient's cognitive abilities, memory, and concentration. Rationale: While cognitive abilities, memory, and concentration are important factors to consider in a comprehensive mental status assessment, they are distinct from the patient's mood state. Cognitive assessment provides information about cognitive impairments that might accompany mood disorders, but it does not directly reflect the patient's current emotional state.

Choice D rationale:

The patient's mood state, such as euphoric, irritable, depressed, or mixed. Rationale: This statement is correct. Assessing and documenting the patient's mood state is crucial when evaluating individuals with bipolar disorder. The mood state can provide valuable information about the phase of the disorder (e.g., manic, hypomanic, depressive) and guide treatment decisions. Mood variations are a hallmark of bipolar disorder, and accurately identifying the patient's mood at the time of assessment is essential for effective care.

A. Orientation, memory, and attention. B. Physical vital signs and laboratory tests. C. Coherence, logic, and continuity of thought. D. Signs of confusion, disorientation, and amnesia.

Correct Answer is A

Explanation

Choice A rationale:

The correct answer is A, "Orientation, memory, and attention." Impaired judgment and poor insight can be indicative of cognitive dysfunction in bipolar disorder. Assessing orientation (awareness of time, place, and person), memory (short-term and long-term memory abilities), and attention (ability to focus and concentrate) can provide insights into cognitive deficits that may be contributing to impaired judgment.

Choice B rationale:

"Physical vital signs and laboratory tests" are essential assessments, but they are not directly related to the cognitive abilities of the client. They focus on physiological aspects rather than cognitive functioning.

Choice C rationale:

"Coherence, logic, and continuity of thought" are aspects of thought processes, not cognitive abilities like memory and attention. These are more relevant to assessing thought disorders or psychosis.

Choice D rationale:

"Signs of confusion, disorientation, and amnesia" are relevant to cognitive assessment, but this choice does not cover the breadth of cognitive abilities encompassed by choice A.

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A client with MDD tells the nurse, "I just can't see any way out of this. Life is hopeless." Which therapeutic response should the nurse provide?

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Naxlex Comprehensive Predictor Exams

A nurse is conducting an assessment of a patient with bipolar disorder. Which aspect of the patient's mental status should the nurse observe and document in relation to their mood state?

Correct Answer is D

Explanation

A client with bipolar disorder is exhibiting signs of impaired judgment and poor insight. What should the nurse assess and document about the client's cognitive abilities?

Correct Answer is A

Explanation

A nurse is educating a group of nursing students about psychotherapeutic interventions for bipolar disorder. Select all the psychotherapeutic interventions that are commonly used for managing bipolar disorder.

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A client with MDD tells the nurse, "I just can't see any way out of this. Life is hopeless." Which therapeutic response should the nurse provide?