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 should make sure your partner takes the prescribed medication."
"You did the right thing by bringing your partner in for treatment."
"Can you talk about what was happening with your partner at home?
"Why do you think your partner's symptoms are progressing so quickly?"
The Correct Answer is C
A. "You should make sure your partner takes the prescribed medication." While medication adherence is important, this response shifts the focus to advice-giving rather than exploring the partner’s emotions or current experience, which limits therapeutic communication.
B. "You did the right thing by bringing your partner in for treatment." Although supportive, this statement closes off the conversation and doesn’t invite the partner to share more about their feelings or the situation at home.
C. "Can you talk about what was happening with your partner at home?" This open-ended, therapeutic response encourages the partner to express their thoughts and emotions, facilitating a better understanding of the client’s condition and the impact it has had on the family.
D. "Why do you think your partner's symptoms are progressing so quickly?" Asking “why” can feel accusatory or put the partner on the defensive. It may also imply blame, which is not helpful in building trust or gathering therapeutic insight.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Aspirin 1 tablet daily. This prescription is incomplete because it does not specify the dose in milligrams. Aspirin comes in multiple strengths, and clarity is essential to ensure safe administration.
B. Furosemide 20 mg BID. This prescription is complete because it includes the medication name, dosage (20 mg), and frequency (twice daily). It provides all necessary components for safe administration.
C. Nitroglycerin transdermal patch. This order lacks critical details such as the dosage, frequency, and duration of use. Without this information, the prescription is incomplete and cannot be safely implemented.
D. Metoprolol 5 mg now. Although it includes the medication, dosage, and timing, it does not specify the route (e.g., oral, IV), which is necessary for the prescription to be considered complete.
Correct Answer is C
Explanation
A. "Take your temperature every night before going to bed." Basal body temperature (BBT) must be measured after a full night’s sleep, not at bedtime, to accurately detect ovulatory shifts in temperature.
B. "Take your temperature 1 hour after getting out of bed." Delaying the measurement even by an hour can alter the results, as physical activity and environmental exposure can cause inaccurate readings.
C. "Take your temperature immediately after waking and before getting out of bed." This is the correct instruction. BBT should be taken at the same time each morning, right after waking, before any activity, to detect the slight rise in temperature (0.3–0.6°C or 0.5–1.0°F) that typically follows ovulation.
D. "Take your temperature within 30 minutes after your first morning void." Waiting until after voiding can also affect the reading. The temperature should be taken prior to any physical movement, including going to the bathroom, for best accuracy.
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