A female client tells the care provider that she feels very angry about her recent divorce.
Which is the care provider's best response?
"Most people experience strong feelings after a divorce.
“I know exactly how you feel.”
“I know this must be difficult for you."
“Look on the bright side. You will be glad you divorced him in a couple of years.”
The Correct Answer is C
Choice A rationale: this response is dismissive and invalidating since it suggests that anger is a normal and expected feeling hence the client should not feel bad about it.
Choice B rationale: this statement is presumptuous and doesn’t offer help to the patient. Furthermore, the care provider should understand that everyone’s experience and reaction after a divorce is different.
Choice C rationale: this statement empathizes with the client’s feelings and emotions without making them feel judged and guilty for expressing their emotions. It also allows the client to share more about their experience if she wishes.
Choice D rationale: this response is very unrealistic and disrespectful since it does not address the patient’s feelings and emotions about the divorce but instead it tries to impose a positive outlook on her.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: absence of physical and mental movement refers to catatonia that can occur in severe depression or schizophrenia.
Choice B rationale: akinesia refers to the absence of voluntary movement and can be seen in individuals with Parkinson’s disease or as a side effect of some antipsychotic medications.
Choice C rationale: these are signs and symptoms of tardive dyskinesia which is a serious side effect of antipsychotic therapy resulting from the damage of nerve cells controlling movement and is irreversible especially when detected late.
Choice D rationale: this refers to dystonia which is a condition characterized by abnormal muscle tone resulting in painful muscle spasms and abnormal postures. This is a side effect of some antipsychotic medications.
Correct Answer is C
Explanation
Choice A rationale: fats are directly related to lithium therapy and does not require any special monitoring during the drug’s intake.
Choice B rationale: proteins do not affect the blood levels of lithium hence they do not require any special monitoring during the drug’s intake.
Choice C rationale: Lithium is a salt that can affect the fluid and electrolyte balance in the body and competes with sodium for their reabsorption in the kidneys.
Therefore, if the client consumes too much or too little sodium, it can alter the level of lithium in the blood and cause toxicity or ineffectiveness hence the need for close monitoring.
Choice D rationale: potassium does not affect the blood levels of lithium hence no special monitoring during intake is required.
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