A nurse is developing a care plan for a patient with MDD. What is the primary goal of establishing a therapeutic nurse-patient relationship in this context?
Providing constant reassurance to the patient.
Offering advice and solutions to the patient's problems.
Promoting trust, rapport, empathy, and communication.
Encouraging the patient to rely solely on the nurse for support.
The Correct Answer is C
Choice C rationale:
The primary goal of establishing a therapeutic nurse-patient relationship in the context of caring for a patient with MDD is to promote trust, rapport, empathy, and communication. This relationship provides a safe and supportive environment for the patient to express their thoughts and feelings, which is essential for effective treatment and recovery.
Choice A rationale:
Providing constant reassurance to the patient oversimplifies the therapeutic relationship. While offering reassurance is part of the nurse's role, the relationship is multidimensional and involves active listening, understanding, and collaborative problem-solving beyond just providing reassurance.
Choice B rationale:
Offering advice and solutions to the patient's problems might be part of the therapeutic process, but it's not the primary goal of the nurse-patient relationship. The relationship focuses on fostering open communication and empowering the patient to explore their feelings and thoughts.
Choice D rationale:
Encouraging the patient to rely solely on the nurse for support is not the goal of the therapeutic relationship. Instead, the nurse aims to empower the patient to develop a network of support and coping strategies, both within and outside the healthcare setting. This approach enhances the patient's long-term resilience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Dry mouth is a common side effect of many medications, but it is not a distinctive side effect of SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Dry mouth is more commonly associated with medications that affect salivary gland function, such as anticholinergic drugs.
Choice B rationale:
Weight loss can indeed be a side effect of SNRIs. These medications can impact appetite and metabolism, leading to weight loss in some individuals. However, it is not the most common or distinctive side effect when compared to other options.
Choice C rationale:
Constipation is a side effect that can occur with SNRIs, but it's not as prevalent or characteristic as some other side effects. Constipation is often associated with medications that have anticholinergic effects, which SNRIs generally have to a lesser extent.
Choice D rationale:
(Correct Choice) Insomnia is a well-known side effect of SNRIs. These medications can affect sleep patterns and may cause difficulties falling asleep or staying asleep. This side effect is particularly relevant to discuss with patients because it can impact their quality of life and overall well-being.
Correct Answer is D
Explanation
Choice A rationale:
Benzodiazepines can cause weight gain and increased appetite. Rationale: This statement is incorrect. Benzodiazepines are not typically associated with weight gain and increased appetite. Weight gain is more commonly associated with certain other psychotropic medications like some antipsychotics and mood stabilizers. Benzodiazepines primarily affect the central nervous system and are known for their sedative and anxiolytic properties rather than influencing appetite.
Choice B rationale:
Benzodiazepines are used to enhance the effects of dopamine in the brain. Rationale: This statement is incorrect. Benzodiazepines do not enhance the effects of dopamine in the brain. They work by enhancing the inhibitory effects of the neurotransmitter gamma-aminobutyric acid (GABA), which leads to sedative and calming effects. Dopamine is a separate neurotransmitter associated with reward, motivation, and movement control, and benzodiazepines do not directly influence its effects.
Choice C rationale:
Benzodiazepines are commonly prescribed as mood stabilizers. Rationale: This statement is incorrect. Benzodiazepines are not commonly prescribed as mood stabilizers. Mood stabilizers are a class of medications used to manage mood disorders like bipolar disorder. While benzodiazepines might be used in certain cases to manage anxiety or agitation associated with bipolar disorder, they are not considered primary mood stabilizers. Mood stabilizers like lithium, anticonvulsants (e.g., valproate, carbamazepine), and certain atypical antipsychotics are more commonly used for this purpose.
Choice D rationale:
Benzodiazepines may lead to cognitive impairment and dependence. Rationale: This statement is correct. Benzodiazepines are associated with potential cognitive impairment and the risk of dependence. These medications have sedative effects that can impact cognitive function, including memory and attention. Prolonged use of benzodiazepines can lead to physical and psychological dependence, making it important for healthcare providers to carefully assess and monitor their use in patients, particularly those with bipolar disorder.
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