A patient with a panic disorder tells the nurse that she has a lot of job-related stress. Which response by the nurse is most therapeutic for this patient?

A. “Ms. Smith, you're wrong about that. Of course, we care.”

This is dismissive and invalidates her feelings. It shuts down communication rather than exploring her emotions.

B. “Ms. Smith, maybe the doctor can change the dosage of your medication. That will make you feel better.”

This jumps to a solution without first understanding the cause of her feelings. It also medicalizes emotional distress prematurely.

C. “I care or I wouldn't continue to work here.”

This response shifts focus to the nurse and may appear defensive or self-serving.

D. “Like nobody cares? Please tell me more about what you are feeling.”

This is a therapeutic response that encourages Ms. Smith to open up and feel heard. It uses reflection and invites further discussion.

A. Bring her and her children to a room immediately

This is a safety-first response. The woman is frightened and possibly in immediate danger. Moving her and the children to a private area provides physical and emotional safety and allows the nurse to continue assessment confidentially.

B. Ask her please not to scream-she is alarming the other patients

This is inappropriate and dismissive. Her distress signals potential abuse or trauma; silencing her prioritizes others’ comfort over her safety.

C. Ask, "Who will kill you?"

Although assessing threat is important, immediate safety must be ensured first before probing for more details.

D. Ask her to sit for a moment while you contact someone who can provide safety for her

Delaying action may increase the risk to her and her children. Immediate removal to a safe space is more appropriate.