A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?
"Sooner or later, alcohol will kill you. Then what will happen to your children?"
"I hear a lot of defensiveness in your voice. Do you really believe this?"
"Tell me what happened the last time you drank."
"If you were coping so well, why were you hospitalized again?"
The Correct Answer is C
A. This response is confrontational and judgmental, likely causing defensiveness rather than insight.
B. Pointing out defensiveness may provoke resistance rather than helping the patient analyze their behavior objectively.
C. This response encourages the patient to reflect on their own behavior and the consequences of drinking, promoting self-awareness and objective evaluation without judgment. It allows the patient to explore their actions and recognize patterns.
D. This response is accusatory and may make the patient feel blamed, which is not therapeutic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Respecting confidentiality is important, but the nurse has a legal and ethical duty to report child abuse, even if the patient discloses it in confidence.
B. Filing a report with the ethics committee does not fulfill the mandatory reporting requirement for child abuse.
C. The nurse must report suspected or disclosed child abuse to the appropriate child protection agency, even if the patient is now in rehabilitation. Anonymity may be used if allowed, but reporting is legally required.
D. Reassuring the patient about comfort in sharing does not address the immediate need to protect the child and fulfill mandatory reporting obligations.
Correct Answer is C
Explanation
A. This focuses on problem-solving rather than acknowledging the patient’s feelings, which is not empathy.
B. This expresses the nurse’s feelings, not the patient’s, so it reflects sympathy rather than empathy.
C. This statement acknowledges the patient’s emotional experience and communicates understanding from the patient’s perspective, which demonstrates empathy.
D. This is judgmental and dismissive, showing neither empathy nor support.
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