A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

“I am trying to help you, but you haven't told me why you are overwhelmed yet."

"Have you tried to avoid the situations that are causing you so much stress?"

“Tell me about what you are doing to reduce or cope with your stress."

“I would like to help you. Can you tell me more about what you are feeling?"

Answer and Explanation

The Correct Answer is D

A. "I am trying to help you, but you haven't told me why you are overwhelmed yet." This response sounds dismissive and places responsibility on the client, which may increase their frustration.

B. "Have you tried to avoid the situations that are causing you so much stress?" Avoidance is not a healthy coping mechanism and does not encourage the client to express their feelings.

C. "Tell me about what you are doing to reduce or cope with your stress." While this encourages self-reflection, it does not validate the client’s distress or express empathy.

D. "I would like to help you. Can you tell me more about what you are feeling?" This response shows empathy, offers support, and invites the client to express their emotions, which are key aspects of therapeutic communication.

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Correct Answer is B

Explanation

A. Laboratory technician: Laboratory technicians analyze blood, urine, and other specimens but do not specialize in medication interactions.

B. Psychiatric pharmacist: A psychiatric pharmacist specializes in psychotropic and other medications, ensuring there are no interactions between schizophrenia medications and diabetes treatments.

C. Psychologist: A psychologist provides therapy and mental health assessments but does not prescribe or manage medications.

D. Primary provider: While a primary care provider (PCP) oversees general care, a psychiatric pharmacist is the best choice for in-depth medication interaction expertise.

A. "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions." B. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client." C. “Therapeutic communication is no different than how we communicate in general conversation outside of health care." D. "Therapeutic communication is not as important as medication in the care of our clients."

Correct Answer is B

Explanation

A. "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions." Therapeutic communication is essential in nurse-client interactions, as it builds trust, fosters emotional well-being, and enhances care outcomes.

B. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client." Therapeutic communication actively supports mental health treatment by ensuring clients feel heard, validated, and understood, which is crucial in emotional and psychological care.

C. "Therapeutic communication is no different than how we communicate in general conversation outside of health care." Everyday communication lacks the structured techniques (e.g., active listening, open-ended questions, empathy) used in therapeutic communication.

D. "Therapeutic communication is not as important as medication in the care of our clients." While medications are critical for treatment, communication is equally vital because it affects adherence, trust, and overall well-being.

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A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the dient's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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