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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prozac is sometimes used to treat certain anxiety disorders, such as obsessive-compulsive disorder (OCD) and panic disorder, its primary indication is not for anxiety.
B. Prozac is not used to treat schizophrenia. Schizophrenia is a complex mental disorder that is usually managed with antipsychotic medications. Prozac, as an SSRI, does not address the primary symptoms of schizophrenia, such as delusions and hallucinations.
C. Prozac is primarily prescribed for the treatment of major depressive disorder (MDD). It is one of the most commonly used SSRIs for managing depression. The medication works by increasing levels of serotonin in the brain, which can help improve mood and alleviate symptoms of depression.
D. Prozac is not typically used as the primary treatment for bipolar disorder. While it may be used in combination with mood stabilizers for managing depressive episodes in bipolar disorder, it is not used alone due to the risk of potentially triggering manic episodes.
Correct Answer is A
Explanation
A. Lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Frequent monitoring allows for early detection of rising lithium levels, preventing toxicity.
B. While monitoring lithium levels is important for overall treatment, it's not primarily used to identify relapse.
C. Lithium primarily affects the kidneys, not the liver. Liver function tests are important for overall health monitoring but are not the primary reason for frequent lithium level checks.
D. While this is a goal, the primary reason for such frequent monitoring is to prevent toxicity, which can occur rapidly.
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