Your patient, who is manic, says, "Everything I do is great." How should you respond?

"Yes, I am happy for you."

"No one can be great at everything."

"Keep it up."

"Tell me about a time in your life when things didn't go as planned."

Answer and Explanation

The Correct Answer is D

Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.

Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.

Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.

Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.

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Correct Answer is D

Explanation

Choice A reason: The statement "Your heart stops" is incorrect; heart failure does not mean the heart has stopped functioning.

Choice B reason: "Your heart is pumping too much blood" is not accurate; heart failure often means the heart cannot pump enough blood to meet the body's needs.

Choice C reason: While an area of heart muscle may die during a heart attack, this is not the defining characteristic of heart failure.

Choice D reason: The most accurate description of heart failure is that the heart is not pumping efficiently, which can lead to symptoms like fatigue and shortness of breath.

A. "Why don't you wait to speak to your provider in the morning?" B. "Go back to your room, and I'll try to get in touch with your provider in the morning." C. "You seem to be very upset about something. Tell me about it." D. "Everything will be okay until morning. You can speak with your provider then."

Correct Answer is C

Explanation

Choice A reason: This response may come off as dismissive and does not address the patient's immediate concerns or feelings.

Choice B reason: While this response offers a solution, it does not engage with the patient's current emotional state or provide immediate support.

Choice C reason: This response is therapeutic as it acknowledges the patient's emotional state and invites them to discuss their concerns, which is important in managing patients with bipolar disorder.

Choice D reason: This response might minimize the patient's feelings and does not encourage communication about the patient's current distress.

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Your patient, who is manic, says, "Everything I do is great." How should you respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Correct Answer is D

Explanation

A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

Which statement is most true about bipolar disorder?

The nurse is reinforcing teaching to the patient about controlling cholesterol with diet. Which of the following dietary actions help reduce cholesterol? Select all that apply.

A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?