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?"
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "It can increase their risk for falls." Sedating medications, such as benzodiazepines and antipsychotics, increase fall risk due to drowsiness and impaired coordination.
B. "It increases their risk of experiencing a stroke." While some antipsychotics increase stroke risk, this is not the most relevant concern for sedating medications in dementia patients.
C. "It can increase their blood pressure." Most sedatives lower blood pressure rather than increase it.
D. "It can increase their risk for infection." Sedating medications do not directly increase infection risk.
Correct Answer is D
Explanation
A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.
B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.
C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.
D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.
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