Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

The nurse

The client

Establishing a friendship

The plan of care

Answer and Explanation

The Correct Answer is B

Choice A rationale: the nurse is not the primary focus of a therapeutic relationship and does not focus on their personal or professional needs. However, they should always maintain appropriate boundaries and avoid becoming too emotionally involved or attached to the client.
Choice B rationale: the client is the primary focus of a therapeutic relationship hence the care provided should meet the client’s needs, well-being, and expectations.
Choice C rationale: a therapeutic relationship is not focused on establishing a friendship but on developing a working alliance between the nurse and the client.
Choice D rationale: The plan of care is an important tool for guiding the therapeutic relationship, but it is not the focus of the relationship.

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Correct Answer is D

Explanation

Choice A rationale: Mood stabilizers are drugs that help regulate the mood swings of bipolar disorder and other conditions. They include lithium, valproate, carbamazepine, and lamotrigine.
Choice B rationale: Antipsychotics are drugs that reduce the symptoms of psychosis, such as hallucinations, delusions, paranoia, and disorganized thinking. They include chlorpromazine, haloperidol, risperidone, olanzapine, and quetiapine.
Choice C rationale: Antidepressants are drugs that improve mood and reduce the symptoms of depression, such as low energy, sadness, hopelessness, and loss of interest. They include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs).
Choice D rationale: Benzodiazepines are a class of drugs that act on the gamma-aminobutyric acid (GABA) receptors in the brain, producing a calming and sedative effect. They are used to treat anxiety disorders, panic attacks, insomnia, seizures, and alcohol withdrawal. They include drugs such as lorazepam, diazepam and clonazepam.

A. Chloride and sodium B. Water and vitamins C. Sodium and water D. Potassium and water

Correct Answer is C

Explanation

Choice A rationale: Both sodium and chloride are important for fluid balance but chloride has no effect on the blood lithium levels.
Choice B rationale: sodium has an effect on the blood lithium levels by competing with lithium for reabsorption in the kidneys but vitamins do not influence the lithium levels in blood.
Choice C rationale: dehydration increases the risk of lithium toxicity since it will result in oliguria hence increasing the risk of lithium toxicity since the drug is primarily excreted in urine. Sodium and lithium compete for reabsorption in the kidneys, so low sodium levels can increase lithium retention and lead to toxicity. Therefore, the client should maintain an adequate intake of sodium and water to prevent dehydration and sodium loss and to keep the lithium level within the therapeutic range.
Choice D rationale: water has an influence on blood lithium levels since adequate intake minimizes the risk of toxicity by increasing the drug’s excretion in urine.
However, potassium does not compete with lithium for reabsorption.

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Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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