A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states, "I don't know what to do. Everything has been happening so quickly." Which of the following responses by the nurse is therapeutic?
"You did the right thing by bringing your partner in for treatment."
"Why do you think your partner's symptoms are progressing so quickly?"
"Can you talk about what was happening with your partner at home?"
"You should make sure your partner takes the prescribed medication."
The Correct Answer is C
A. "You did the right thing by bringing your partner in for treatment.": While supportive, this statement provides reassurance rather than facilitating expression of feelings or exploration of the partner’s experience. Therapeutic communication focuses on encouraging dialogue and understanding.
B. "Why do you think your partner's symptoms are progressing so quickly?": Asking “why” can come across as judgmental and may make the partner defensive. It does not encourage open discussion about feelings or experiences, which is central to therapeutic interaction.
C. "Can you talk about what was happening with your partner at home?": This open-ended statement encourages the partner to describe observations and feelings, promoting emotional expression and building rapport. It facilitates assessment of the home environment and caregiving challenges, which is essential in planning support.
D. "You should make sure your partner takes the prescribed medication.": This directive focuses on compliance rather than exploring the partner’s emotional state or providing support. It does not address the partner’s immediate feelings of overwhelm and uncertainty.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Use Leopold maneuvers to determine the fetal position: Leopold maneuvers are used to assess fetal lie, presentation, and position. While important for assessment, they do not address acute maternal symptoms such as sudden nausea, which may indicate supine hypotensive syndrome.
B. Ask the client to increase her daily calcium intake: Calcium intake is unrelated to sudden nausea in a client at 36 weeks of gestation. Adjusting dietary calcium will not alleviate acute symptoms caused by maternal positional hypotension.
C. Administer propranolol IV to the client: Propranolol, a beta-blocker, is not indicated for sudden nausea associated with late-stage pregnancy. Its use could adversely affect maternal blood pressure and fetal heart rate without addressing the underlying cause.
D. Position the client on her side: Lying supine in late pregnancy can compress the inferior vena cava, reducing venous return and cardiac output, which may cause nausea, dizziness, or hypotension. Positioning the client on her left or right side alleviates vena caval compression and improves maternal perfusion and symptom relief.
Correct Answer is D
Explanation
A. Bacon and cheese quiche with milk: Bacon is pork, which is prohibited in kosher dietary laws, and combining meat with dairy (cheese) is also not allowed. This choice violates both the type of meat and the meat–dairy combination rules.
B. Ham sandwich with milk: Ham is derived from pork, which is forbidden in kosher practice, and pairing it with milk further violates the prohibition against mixing meat and dairy. This makes the selection inappropriate for a kosher diet.
C. Shrimp salad and tomato soup with milk: Shrimp is considered a non-kosher seafood and cannot be consumed under kosher laws. Including it on the tray makes this option unacceptable regardless of the other items.
D. Scrambled eggs and toast with milk: Eggs are considered kosher, and when paired with dairy (milk), they comply with kosher dietary rules because eggs are neither meat nor fish. Toast is acceptable, making this the appropriate choice for a client following kosher traditions.
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