A client is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless which of t responses should the nurse make?
“It is unusual for people who have depression to feel this way."
"You've been feeling that your life has no meaning."
"You have a great deal to live for."
"Why do you feel you are worthless?"
The Correct Answer is B
A. This response is dismissive and invalidating. It may come across as minimizing the client's feelings or suggesting that their experience is abnormal, which can increase feelings of isolation or inadequacy. It’s important to acknowledge the client’s feelings rather than suggesting that their experiences are atypical.
B. This response reflects back the client's feelings in a validating manner. It shows empathy and understanding by acknowledging the depth of their emotional experience. Reflective listening helps the client feel heard and can facilitate further discussion about their feelings and needs.
C. While this statement may be intended to provide hope, it can come across as dismissive of the client's current emotional state. Telling a person they have a lot to live for without addressing their immediate feelings may not resonate with their current perspective and might not be helpful at that moment.
D. This question might come across as interrogative and could potentially make the client feel defensive or pressured. It’s important to approach such sensitive topics with empathy rather than probing questions, which could make the client feel worse or less understood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the primary goal of the first phase of depression treatment. It focuses on stabilizing the client's condition and alleviating the most distressing symptoms, such as sadness, loss of interest, and changes in sleep and appetite.
B. While medication is often part of the treatment plan, it's not the primary focus of the initial phase. The goal is to address the symptoms first.
C. This is more relevant to the later stages of treatment when the client's condition has stabilized.
D. This is too narrow a focus. The goal is to address the underlying depression and its associated symptoms, not just specific behaviors.
Correct Answer is D
Explanation
A. It is not the immediate priority during a panic attack. The client is currently in a state of heightened distress, and trying to teach new techniques at this moment may not be effective or practical.
B. Although administering PRN (as needed) antianxiety medication can be beneficial for managing symptoms, the immediate priority should be to ensure the client feels safe and supported. Medication may be used later in the process, but addressing the immediate needs and providing a calming environment is crucial first.
C. While understanding the client’s thought process can be helpful for therapeutic purposes and future treatment planning, asking about thoughts during an acute panic attack can be overwhelming and may not be the most supportive approach at that moment.
D. The first priority during a panic attack is to ensure the client feels safe and supported. Staying with the client in a quiet place helps reduce stimuli that could exacerbate the panic attack and provides reassurance.
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