During a therapy session, which statement made by the nurse indicates a need for further training in effective therapeutic communication techniques?

Choice A rationale
Confusion can cause a temporary state of disorientation and difficulty with concentration and memory, but it doesn’t typically result in a loss of multiple abilities such as short- and long- term memory, language, and the ability to understand.
Choice B rationale
Dementia is a progressive condition that affects memory, thinking skills, and the ability to perform everyday tasks. It can cause loss of multiple abilities such as short- and long-term memory, language, and the ability to understand.
Choice C rationale
Delirium is a sudden and severe confusion that comes on quickly and can cause changes in memory, thinking, attention, and perception. However, it is usually temporary and reversible, unlike the progressive loss of abilities seen in dementia.
Choice D rationale
Aggression is a type of behavior characterized by hostile, forceful, or destructive actions. It does not involve a loss of multiple abilities such as short- and long-term memory, language, and the ability to understand.

Choice D rationale
Feelings of hopelessness, worthlessness, and difficulty focusing are common symptoms of severe depression. Depression is a serious mood disorder that affects how a person feels, thinks, and handles daily activities. To be diagnosed with depression, the symptoms must be present for at least 2 weeks.
Choice A rationale
Changes in sleep pattern and fatigue are symptoms of depression, but an elevated mood is not. An elevated mood is more commonly associated with bipolar disorder.
Choice B rationale
While a depressed mood and feelings of guilt are symptoms of depression, rapid speech is not. Rapid speech is more commonly associated with mania or hypomania, conditions seen in bipolar disorder.
Choice C rationale
Difficulty concentrating and feelings of helplessness are symptoms of depression, but rapid shifts in thoughts are not. Rapid shifts in thoughts are more commonly associated with conditions such as bipolar disorder.