A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

“Have you thought about taking a sleeping pill?”

“Your fatigue will pass, and everything will be just fine.”

“Do you have a family member who can assist you?”

“Let’s discuss how to get you the help you need.”

Answer and Explanation

The Correct Answer is D

Choice A reason:

Suggesting a sleeping pill is not an example of therapeutic communication as it does not address the underlying issues or provide support. It may also imply a quick fix rather than exploring the client’s feelings and needs.

Choice B reason:

Telling the client that their fatigue will pass and everything will be fine is dismissive and does not validate their feelings. It fails to engage the client in a meaningful conversation about their concerns.

Choice C reason:

Asking if the client has a family member who can assist them is practical but does not fully engage in therapeutic communication. It may be helpful, but it does not explore the client’s feelings or provide emotional support.

Choice D reason:

“Let’s discuss how to get you the help you need” is an example of therapeutic communication. It shows empathy, validates the client’s feelings, and opens a dialogue to explore solutions and support options.

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Correct Answer is B

Explanation

Choice A reason: Midazolam is a benzodiazepine used primarily for sedation, anxiety relief, and anesthesia. It is not used as a first-line treatment for major depressive disorder.

Choice B reason: Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed as a first-line treatment for major depressive disorder. SSRIs work by increasing the levels of serotonin in the brain, which can help improve mood and alleviate depressive symptoms.

Choice C reason: Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms. It is not indicated for the treatment of major depressive disorder.

Choice D reason: Valproic acid is primarily used as a mood stabilizer and anticonvulsant. It is not typically used as a first-line treatment for major depressive disorder, although it may be used in cases of bipolar disorder.

A. “ECT is contraindicated in clients who have psychotic symptoms.” B. “ECT is delivered through electrodes attached to the head.” C. “ECT cannot be administered to clients who have suicidal ideation.” D. “ECT is conducted under regional anesthesia.”

Correct Answer is B

Explanation

Choice A reason:

ECT is not contraindicated in clients with psychotic symptoms. In fact, it is often used to treat severe depression with psychotic features, as well as other conditions such as mania and catatonia. ECT can be highly effective in reducing symptoms of psychosis when other treatments have failed.

Choice B reason:

ECT is delivered through electrodes attached to the head. During the procedure, a small amount of electrical current is passed through the brain to induce a controlled seizure, which can help alleviate symptoms of severe depression and other mental health conditions.

Choice C reason:

ECT can be administered to clients with suicidal ideation. It is often considered when rapid symptom relief is needed, such as in cases of severe depression with a high risk of suicide. ECT can provide quick and significant improvement in mood and functioning.

Choice D reason:

ECT is conducted under general anesthesia, not regional anesthesia. General anesthesia ensures that the client is unconscious and does not feel pain during the procedure. Muscle relaxants are also administered to prevent physical convulsions during the induced seizure.

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A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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