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:
The patient's thought content and organization. Rationale: While monitoring thought content and organization is important in psychiatric assessment, it is not directly related to observing and documenting the patient's mood state. Thought content and organization involve assessing the coherence, relevance, and logic of the patient's thoughts, which can provide insights into their cognitive functioning and potential psychiatric conditions like schizophrenia.
Choice B rationale:
The patient's physical vital signs and laboratory tests. Rationale: This choice is unrelated to the assessment of the patient's mood state. Vital signs and laboratory tests are essential in medical assessments, but when evaluating a patient with bipolar disorder, the focus should be on their psychological and emotional state rather than physical parameters.
Choice C rationale:
The patient's cognitive abilities, memory, and concentration. Rationale: While cognitive abilities, memory, and concentration are important factors to consider in a comprehensive mental status assessment, they are distinct from the patient's mood state. Cognitive assessment provides information about cognitive impairments that might accompany mood disorders, but it does not directly reflect the patient's current emotional state.
Choice D rationale:
The patient's mood state, such as euphoric, irritable, depressed, or mixed. Rationale: This statement is correct. Assessing and documenting the patient's mood state is crucial when evaluating individuals with bipolar disorder. The mood state can provide valuable information about the phase of the disorder (e.g., manic, hypomanic, depressive) and guide treatment decisions. Mood variations are a hallmark of bipolar disorder, and accurately identifying the patient's mood at the time of assessment is essential for effective care.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale: This response is not appropriate as rating a mood as 9 indicates a very high mood, possibly hypomania or mania, rather than stability.
Choice B rationale: This response incorrectly interprets the client's rating. A 9 indicates a high mood, not a low one.
Choice C rationale: Asking the client to explain why they rated their mood so high allows the nurse to gather more information about the client's current state and any possible symptoms of mania.
Choice D rationale: This response is incorrect as a mood rating of 9 indicates a high mood, not depression.
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