A bystander was killed during a robbery 2 weeks ago. His widow, who is diagnosed with schizoaffective disorder, cries spontaneously when talking about his death. Select the nurse's most therapeutic response.
I am worried about how much you are crying. Your grief over your husband's death has gone on too long
"The unexpected death of your husband must be very painful. I am glad you are able to talk to me about your feelings."
"Are you hearing voices at night?"
"This loss is harder to accept because of your mental illness. I will refer you to a partial hospitalization program."
The Correct Answer is B
A. This response minimizes her grief and implies pathology; crying after a recent traumatic loss is normal.
B. This response acknowledges the client’s pain, validates her feelings, and encourages continued expression, making it therapeutic.
C. This abruptly changes the subject and ignores her grief, which is the client’s primary concern.
D. This pathologizes normal grief and focuses on her diagnosis instead of providing empathy and support.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Stereotyped behavior, echopraxia, echolalia, and waxy flexibility are characteristic of the catatonic stage of schizophrenia, not the prodromal stage.
B. Auditory hallucinations, ideas of reference, thought insertion, and broadcasting are positive symptoms that typically emerge during the active stage of schizophrenia.
C. Loose associations, concrete thinking, and neologisms also represent active-phase symptoms and are not typical in the prodromal stage.
D. The prodromal stage is marked by subtle changes in behavior and cognition, including social withdrawal, misinterpretation of events, poor concentration, and preoccupation with unusual thoughts or religion. These signs precede the onset of full-blown psychotic symptoms.
Correct Answer is A
Explanation
A. Atomoxetine, a selective norepinephrine reuptake inhibitor (SNRI), can cause insomnia if taken late in the day; morning dosing reduces this risk.
B. Unlike some antipsychotics, atomoxetine is more commonly associated with appetite suppression and weight loss, not weight gain.
C. Atomoxetine is not a stimulant; it usually reduces hyperactivity and impulsivity.
D. Atomoxetine does not suppress the immune system; infection risk is not a concern.
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