A nurse caring for a client is preparing to access the client’s implanted medication port (Medi port). The client states, “Every time I have to have my port accessed, I get extremely anxious, and I have heart palpitations.” Which response by the nurse would be most appropriate for the assessment stage of crisis intervention?

“Let's talk to the doctor about getting something ordered before the procedure."

“That must be overwhelming considering how often we access the port."

"Do you think you will be able to control your anxiety in the future?'

“What have you done in the past to relieve or reduce your anxiety during the procedure?"

Answer and Explanation

The Correct Answer is D

This response by the nurse would be most appropriate for the assessment stage of crisis intervention because it focuses on understanding the client’s past experiences and coping mechanisms. By asking the client about what has worked for them in the past, the nurse can help the client identify and use eﬀective strategies to manage their anxiety during the procedure.

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Correct Answer is C

Explanation

Option c demonstrates empathy and understanding toward the client's feelings, which is an essential component of a therapeutic relationship. It acknowledges the client's emotions, validates their experience, and provides support to the client. In contrast, options a and d suggest a solution or an activity to the client, which may not be what the client needs now.

Option b is directive and may make the client feel judged or inadequate.

Therefore, option c is the best response that demonstrates the existence of a therapeutic relationship between the client and the nurse.

A. The client will make statements that he feels less depressed by the end of the first day of admission. B. The client will express and demonstrate increases in energy by the third day of admission. C. The client will reduce self-rating on the depression scale by 10% by the second day of admission. D. The client will demonstrate increased interaction with other clients by discharge.

Correct Answer is C

Explanation

Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.

Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.

Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.

Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.

Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).

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Naxlex Comprehensive Predictor Exams

The client expresses the loneliness she feels to the nurse. Which response by the nurse demonstrates the existence of a therapeutic relationship?

Correct Answer is C

Explanation

During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?

Correct Answer is C

Explanation

The primary reason a client should be included in their treatment plan, if possible, would be for which of the following purposes?

What is the name of the defense mechanism when a client channel drives or impulses that are unacceptable into constructive activities?

An experienced nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the experienced nurse?

Which of the following terms could be used to describe and document a client’s motor activity on a mental health assessment?

Which statement regarding informed consent is correct?

A county in Florida was just devastated by a major hurricane. Community mental health nurses have been sent to the area to provide intervention. What type of prevention strategy is this?

A client receiving cognitive behavior therapy (CBT) is introduced to the concepts guiding the therapy. Which statement best explains automatic thoughts?

A nurse is admitting a client to the psychiatrist unit after attacking a neighbor. The nurse should know that the client can be kept in the hospital after the 72 hours hold is over when which of the following conditions is met?