A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

"If you do not like your medications, would you like to try an alternative?"

"Would you like to speak to a therapist after treatment?"

"You would like more information. I will get that for you right away."

"You feel like you have no remaining options and are struggling to find a solution."

Answer and Explanation

The Correct Answer is D

D. This response reflects empathy and validates the client's feelings of hopelessness. It acknowledges the client's emotional state and demonstrates active listening. By reflecting back the client's words, the nurse conveys understanding and creates an opportunity for further exploration of the client's feelings and concerns.

A. While addressing medication concerns is important, this response may not fully acknowledge the client's feelings of hopelessness and may come across as dismissive of their emotional distress.

B. This response offers the client an opportunity to speak with a therapist, which can be beneficial for addressing emotional distress and exploring coping strategies. However, it does not directly acknowledge the client's current feelings of hopelessness

C. This response does not address the client's feelings of hopelessness and may not effectively validate their emotional experience.

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Correct Answer is D

Explanation

D. FNSD involves neurological symptoms that cannot be explained by a medical or neurological condition but are believed to be related to psychological factors. In this case, the client's symptoms of numbness are likely somatic manifestations of underlying psychological distress or conflict.

A. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms for the purpose of assuming the sick role.

B. Dissociative amnesia involves memory loss that is not attributable to neurological conditions or substance use and is often associated with stressful or traumatic events.

C. Depersonalization/derealization disorder involves experiences of detachment from oneself or one's surroundings.

A. "Regular physical examinations are commonly used to diagnose mental illness." B. "Screening for mental illness is difficult because most mental illnesses cannot be detected through laboratory testing." C. "Risk factors for developing a mental illness are unknown, making screening difficult." D. "Mental illnesses can be detected through regular blood tests."

Correct Answer is B

Explanation

B. Mental illnesses are primarily diagnosed through clinical assessments, interviews, and observation of symptoms by mental health professionals. While laboratory tests may be used to rule out other medical conditions that could mimic psychiatric symptoms or to monitor the effects of medication, they are not typically used as primary screening tools for mental illness.

A. Regular physical examinations are important for overall health and may help identify physical conditions that could contribute to or coexist with mental health symptoms. However, physical examinations alone are not sufficient for diagnosing mental illness.

C. There are known risk factors associated with the development of various mental health conditions.

D. There are no specific blood tests that can definitively diagnose most mental health disorders. Blood tests may be used to rule out physical conditions that could be contributing to symptoms or to monitor medication levels, but they are not direct diagnostic tools for mental illness.

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A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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