Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

"Why don't you discuss that with your physician?"

"I would rather you reconsider that decision."

"What happened the last time you stopped taking your medication?"

"The physician prescribed that medication to help you."

Answer and Explanation

The Correct Answer is D

A.   This response may be seen as evading the client's statement. It's important to provide a more direct response.
B.   This response may come across as controlling or confrontational, which may not promote open communication.
C.   This response is a good therapeutic technique as it encourages the client to reflect on past experiences with stopping medication.
D.   This response provides a clear and factual statement about the purpose of the prescribed medication, encouraging the client to understand its importance.

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Correct Answer is C

Explanation

A. Loss of appetite can be a symptom of PMDD, but it is not the primary manifestation.
B. Insomnia can be a symptom of PMDD, but it is not the primary manifestation.
C. Emotional lability, or rapid and intense mood swings, is a primary manifestation of PMDD.
D. Anxiety can be a symptom of PMDD, but it is not the primary manifestation.

A. Administer thiamine intramuscular (IM) B. Assist the client with personal hygiene needs C. Place the client on continuous observation D. Explain milieu therapy

Correct Answer is B

Explanation

A. Administer thiamine intramuscular (IM) Administering thiamine is important, especially in
clients with alcohol abuse, to prevent or treat potential Wernicke Korsakoff syndrome. However, the primary intervention when admitting a client is addressing immediate physical and psychological needs, such as personal hygiene.

B. Assist the client with personal hygiene needs This is the primary intervention upon admission.
It addresses the client's immediate physical and psychological wellbeing and helps establish a therapeutic rapport.

C. Place the client on continuous observation While observation may be necessary for safety, it is not the primary intervention in this scenario. Addressing personal hygiene needs takes precedence.

D. Explain milieu therapy Milieu therapy is an important aspect of a comprehensive treatment plan, but it is not the primary intervention upon admission. Immediate physical care and safety are the initial priorities.

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Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

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Naxlex Comprehensive Predictor Exams

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