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A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply.
Select one or more:

“I can see that you feel sad about this situation.”

"Don't be sad, everyone has to pass for something like this in the life.”

I felt very sad when my mother died, it was horrible!

"Let's talk about something else. this subject is upsetting you, don't worry about this."

“The loss of your parent should be very painful for you."

Answer and Explanation

Correct Answer : A,E

a. “I can see that you feel sad about this situation”.

e. “The loss of your parent should be very painful for you.”

These responses by the nurse show empathy and validate the patient’s feelings. They also encourage the patient to continue expressing their emotions and facilitate communication.

Option b. “Don’t be sad, everyone has to pass for something like this in the life” is not a helpful response

because it minimizes the patient’s feelings and may make them feel like their emotions are not valid.

Option c. “I felt very sad when my mother died, it was horrible!” is not a helpful response because it shifts the focus of the conversation away from the patient and onto the nurse’s personal experience.

Option d. “Let’s talk about something else. this subject is upsetting you, don’t worry about this” is not a helpful response because it dismisses the patient’s emotions and may make them feel like they are not allowed to express their feelings.

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Correct Answer is A

Explanation

Borderline personality disorder is a serious mental illness characterized by instability in mood, behaviour, and self-image. Patients with borderline personality disorder are at a high risk of self-harm, suicide, and impulsive behaviours. Therefore, the nurse's priority assessment should be to identify any suicidal or homicidal ideations, as these can be life-threatening emergencies. Once identified, appropriate interventions should be initiated, such as suicide precautions, crisis management, and referral to mental health professionals for further evaluation and treatment.

While sleep patern changes, impulsive behaviours, and support systems are also important aspects to assess in patients with borderline personality disorder, they are not the priority when compared to suicidal or homicidal ideations.

A. give the usual geriatric dosage as per guidelines B. give the medication and consult the health care provider: C. consult a drug reference manual before administer the medication D. hold the medication and consult the health care provider.

Correct Answer is D

Explanation

If the nurse has concerns about the prescribed dose of an antianxiety medication being higher than the usual adult dose, they should hold the medication and consult with the health care provider before administering it. This will allow the health care provider to review the prescription and make any necessary adjustments to ensure the safety and well-being of the patient.

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A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply. Select one or more:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the nurse's priority assessment for a patient with borderline personality disorder?

Correct Answer is A

Explanation

A registered nurse cares for an older adult patient admitted for the treatment of depression. The health care provider prescribes an antianxiety medication today, but the dose is more than the usual adult dose. The nurse should: Select one:

Correct Answer is D

Explanation

A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be: Select one:

The nurse provides care for a client with anorexia nervosa. The nurse knows which statements aretrue regarding anorexia nervosa?

A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "l have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? Select one:

A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who: Select one:

A nurse is caring for a client who smokes and has lung cancer. The client reports, “I'm coughing because I have that cold that everyone has been getting.” The nurse should identify that the client is using which of the following defense mechanisms?

A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the Client’s distress?

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record. which is most appropriate to administer as an as-needed (PRN) anxiolytic medication? Select one:

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply.
Select one or more: