A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?
"You should try to focus on yourself for a change."
"Why do you feel like things will never work out?"
"Have you been thinking about harming yourself?"
"Maybe an antidepressant will make you feel better."
The Correct Answer is C
A. This response minimizes the client’s feelings and could be perceived as dismissive. It’s essential to acknowledge the client’s feelings before offering advice.
B. This question may seem confrontational and can make the client feel defensive, which might hinder
further communication. It’s better to ask open-ended questions related to safety and well-being.
C. The statement "Things will never work out" could indicate a sense of hopelessness, which is associated with suicidal ideation. Directly asking about self-harm or suicidal thoughts ensures that the nurse can intervene appropriately if necessary.
D. While antidepressants may be helpful for depression, it is premature to suggest medication without first assessing for safety concerns, such as suicidal ideation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Remaining with the client after meals helps provide emotional support and prevents purging behaviors that may occur in individuals with eating disorders like binge eating disorder.
B. Regular monitoring of weight is important, but frequent weighing may contribute to anxiety and focus on weight rather than addressing the underlying disorder.
C. Offering snacks on demand could encourage disordered eating patterns and may not help in establishing regular eating habits.
D. While involving the client in meal planning can be helpful for certain eating disorders, the focus should be on establishing a structured, balanced eating plan and addressing emotional needs rather than allowing unstructured eating.
Correct Answer is C
Explanation
A. Asking the family to encourage the client to receive treatment is not appropriate, as the client’s rights
to make decisions about their care must be respected.
B. ECT typically requires informed consent unless the client is deemed legally incompetent, and it is not appropriate to bypass this requirement.
C. The nurse must document the client's refusal to receive the treatment to ensure that the decision is clearly recorded, and the provider can be alerted to discuss the refusal further.
D. While an involuntarily committed client may have restrictions on some rights, they still have the right to refuse treatment unless they are deemed legally incompetent. The nurse should document and communicate the refusal to the provider for further assessment.
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