Which comment indicates the patient perceived the nurse was caring?
My nurse spends time listening to me talk about my problems. That helps me feel like I am not alone
My nurse told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner
My nurse explained my treatment plan to me and asked for my ideas about how to make the treatment better
My nurse always asks me which type of juice I want to help me swallow my medication
The Correct Answer is A
Choice A reason: Listening to the patient’s problems conveys empathy and presence, key to perceived caring in psychiatric nursing. This fosters a therapeutic alliance, reducing feelings of isolation and enhancing trust, aligning with patient-centered care principles, making this the correct choice for perceived caring.
Choice B reason: Linking medication compliance to discharge may feel coercive, not caring. It focuses on outcomes rather than emotional support, failing to validate the patient’s feelings, which is critical for perceived caring in mental health settings, making this choice incorrect.
Choice C reason: Explaining the treatment plan and seeking input shows collaboration, which is therapeutic but less emotionally focused than listening. While patient-centered, it emphasizes planning over emotional connection, making it less indicative of perceived caring compared to attentive listening.
Choice D reason: Asking about juice preferences shows attention to detail but is task-oriented, not emotionally supportive. Caring is better demonstrated through emotional engagement, like listening, which addresses the patient’s psychological needs more directly, making this choice less relevant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Weight gain and metabolic changes are side effects of clozapine, primarily due to its antihistaminic and serotonergic effects, not its dopaminergic action. Dopamine blockade is more associated with movement disorders, making this choice incorrect for teaching related to dopaminergic effects.
Choice B reason: Clozapine’s strong dopaminergic effect, particularly D2 receptor blockade, can cause extrapyramidal symptoms like tardive dyskinesia, a movement disorder. Patient education must emphasize monitoring for abnormal movements, as these are significant risks in antipsychotic therapy, making this the correct choice.
Choice C reason: Infection risk, particularly agranulocytosis, is a serious clozapine side effect but is unrelated to its dopaminergic action. It stems from bone marrow suppression, requiring blood monitoring, not dopamine-related teaching, making this choice incorrect for the question’s focus.
Choice D reason: Improved mood is not a direct result of clozapine’s dopaminergic effect, which primarily addresses psychotic symptoms. Mood changes occur over weeks and involve multiple receptors, not just dopamine, making this choice incorrect for dopaminergic-focused teaching.
Correct Answer is A
Explanation
Choice A reason: Peplau’s interpersonal relations theory emphasizes the nurse-patient relationship as a therapeutic tool. Reflecting on interactions helps nurses understand dynamics, build trust, and adjust approaches, fostering therapeutic growth, making this the correct choice aligned with her theory.
Choice B reason: Administering medications is a clinical task, not a core component of Peplau’s theory, which focuses on interpersonal dynamics. While important, it does not directly enhance the therapeutic relationship, making this choice incorrect for the theory’s focus.
Choice C reason: Documenting behaviors is standard practice but not central to Peplau’s theory, which prioritizes relational dynamics over administrative tasks. Documentation supports care but does not foster interpersonal growth, making this choice incorrect for the theory.
Choice D reason: Teaching coping skills is therapeutic but secondary to Peplau’s focus on the nurse-patient relationship itself. Reflection on interactions directly supports the theory’s emphasis on understanding relational dynamics, making this choice less relevant than self-reflection.
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