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?
"Can you identify some of the things in your job that are causing you to feel stressed?"
"You need to avoid stressful situations; it would be wise to start looking for another job"
“I’m really sorry you have so much job stress."
"It is important to eliminate stressful situations so you can reduce your panic attacks.”
The Correct Answer is A
A. “Can you identify some of the things in your job that are causing you to feel stressed?”
This is a therapeutic, open-ended question that encourages exploration of specific stressors, leading to problem-solving.
B. “You need to avoid stressful situations; it would be wise to start looking for another job.”
This is prescriptive and premature, suggesting avoidance rather than coping and reflection.
C. “I’m really sorry you have so much job stress.”
While empathetic, this does not promote further communication or assessment.
D. “It is important to eliminate stressful situations so you can reduce your panic attacks.”
Eliminating all stressors is unrealistic; this advice is not therapeutic and doesn’t address the client’s individual concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Accessible interventions
Crisis intervention must be readily available to prevent worsening of the crisis.
B. Timely interventions
Immediate intervention is critical in a crisis to stabilize the person.
C. Flexible interventions
Crisis responses should be adapted to the individual’s needs and context.
D. Gradual interventions
Correct. Crisis interventions are typically rapid and direct, not gradual. Delayed or slow interventions can lead to deterioration.
Correct Answer is A
Explanation
A. Suppression
Suppression is a conscious defense mechanism where an individual intentionally avoids thinking about distressing thoughts or feelings.
B. Projection
Projection involves attributing one’s own unwanted feelings or impulses to someone else (e.g., accusing someone else of being angry when you're the one feeling it).
C. Regression
Regression is reverting to an earlier developmental stage (e.g., a childlike state) to cope with stress or anxiety.
D. Rationalization
Rationalization is creating logical excuses to justify unacceptable behavior or feelings (e.g., "I failed the test because the teacher doesn’t like me").
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