A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

"I’d like to sit with you for a while to help you get comfortable talking to me."

"I hope you will feel better after getting accustomed to how this unit operates."

"Why do you think you had so much difficulty adjusting to this change in your life?"

"I’ve also had traumatic life experiences. Maybe it would help if I told you about them."

Answer and Explanation

The Correct Answer is A

A.   This statement demonstrates the nurse's willingness to spend time with the patient to build rapport and trust, offering the nurse's presence and support.
B.   This statement expresses hope but doesn't directly offer the nurse's presence or support.
C.   This question encourages exploration of the patient's feelings but doesn't directly offer the nurse's presence.
D.   This statement shares personal experiences but doesn't directly offer the nurse's presence or support.

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Correct Answer is C

Explanation

A. Dismissing the client's statement as manipulation without proper assessment can be dangerous.
B. While involving family support is important, this response doesn’t address the immediate safety concerns of the client.
C. Asking about suicidal plans helps assess the level of risk and informs subsequent actions to ensure the client's safety.
D. The situation requires more immediate assessment and action due to the expressed suicidal ideation.

A. Patient is attempting to use relaxation strategies. B. Patient is demonstrating withdrawal behaviors. C. Patient is exhibiting clues to potential aggression. D. Patient is trying to work through angry feelings.

Correct Answer is C

Explanation

A. Relaxation strategies involve deliberate and often structured activities aimed at reducing tension and stress, which isn't depicted in the described behavior.
B. Withdrawal behaviors typically involve avoiding social interaction or retreating, which doesn't align with the observed actions.
C. The described behavior, including pacing, clenching fists, and staring at a staff member, indicates potential signs of aggression or agitation.
D. Working through angry feelings might involve communication or expression of emotions, but the described behavior leans more towards agitation and potential aggression.

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A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

An individual has been diagnosed with a dissociative disorder. Which comorbid psychiatric disorders are most likely to accompany this type of mental illness? (Select all that apply.)

After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?

When assessing a patient's plan for suicide, what aspect has priority?