Your patient, who is usually very talkative, does not respond to you when you enter the room, When asked why she is so quiet today. Ms. Smith responds, "I feel like nobody cares." Which response below is the best one for you to say to Ms. Smith?
"Ms. Smith, you're wrong about that. Of course, we care."
"Ms. Smith, maybe the doctor can change the dosage of your medication. That will make you feel better."
"I care or I wouldn't continue to work here."
"Like nobody cares? Please tell me more about what you are feeling.”
The Correct Answer is D
A. “Ms. Smith, you're wrong about that. Of course, we care.”
This is dismissive and invalidates her feelings. It shuts down communication rather than exploring her emotions.
B. “Ms. Smith, maybe the doctor can change the dosage of your medication. That will make you feel better.”
This jumps to a solution without first understanding the cause of her feelings. It also medicalizes emotional distress prematurely.
C. “I care or I wouldn't continue to work here.”
This response shifts focus to the nurse and may appear defensive or self-serving.
D. “Like nobody cares? Please tell me more about what you are feeling.”
This is a therapeutic response that encourages Ms. Smith to open up and feel heard. It uses reflection and invites further discussion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dorothea Dix:
Dorothea Dix was a mental health reformer whose advocacy led to the establishment of state psychiatric hospitals and improved care for the mentally ill. She also raised funds and awareness for better psychiatric care.
B. Linda Richards:
Linda Richards was America’s first trained nurse and helped establish psychiatric nursing education, but she did not lead fundraising efforts like Dix did.
C. Lillian Wald:
Wald was a pioneer in public health nursing, especially in community and home health, not psychiatric care.
D. Clara Barton:
Clara Barton founded the American Red Cross and focused on disaster relief and wartime nursing, not specifically on psychiatric reform.
Correct Answer is C
Explanation
A. Id:
The id is the primitive part of personality driven by pleasure and basic instincts (e.g., hunger, sex), with no concern for reality.
B. Superego:
The superego represents moral standards and ideals internalized from society and parents-focused on "shoulds" and guilt.
C. Ego:
The ego is the rational part that mediates between the id, the superego, and the external world. It operates based on the reality principle.
D. Superid:
This is not a valid Freudian term.
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