A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

“Have you thought about taking a sleeping pill?”

“Your fatigue will pass, and everything will be just fine.”

“Do you have a family member who can assist you?”

“Let’s discuss how to get you the help you need.”

Answer and Explanation

The Correct Answer is D

Choice A reason:

Suggesting a sleeping pill is not an example of therapeutic communication as it does not address the underlying issues or provide support. It may also imply a quick fix rather than exploring the client’s feelings and needs.

Choice B reason:

Telling the client that their fatigue will pass and everything will be fine is dismissive and does not validate their feelings. It fails to engage the client in a meaningful conversation about their concerns.

Choice C reason:

Asking if the client has a family member who can assist them is practical but does not fully engage in therapeutic communication. It may be helpful, but it does not explore the client’s feelings or provide emotional support.

Choice D reason:

“Let’s discuss how to get you the help you need” is an example of therapeutic communication. It shows empathy, validates the client’s feelings, and opens a dialogue to explore solutions and support options.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason:

Grandiosity is a common symptom of a manic episode. Clients may have an inflated sense of self-importance and believe they have special abilities or powers.

Choice B reason:

Flight of ideas is characterized by rapid and continuous speech with frequent changes in topic. This is a typical behavior during a manic episode.

Choice C reason:

Splitting, which involves viewing people or situations as all good or all bad, is more commonly associated with borderline personality disorder rather than bipolar disorder.

Choice D reason:

Hyperactivity is a hallmark of mania. Clients may exhibit increased energy levels, restlessness, and engage in excessive activities.

Choice E reason:

Withdrawal is not typically associated with manic episodes. It is more commonly seen in depressive episodes or other mental health conditions.

A. Midazolam B. Fluoxetine C. Cyclobenzaprine D. Valproic acid

Correct Answer is B

Explanation

Choice A reason: Midazolam is a benzodiazepine used primarily for sedation, anxiety relief, and anesthesia. It is not used as a first-line treatment for major depressive disorder.

Choice B reason: Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed as a first-line treatment for major depressive disorder. SSRIs work by increasing the levels of serotonin in the brain, which can help improve mood and alleviate depressive symptoms.

Choice C reason: Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms. It is not indicated for the treatment of major depressive disorder.

Choice D reason: Valproic acid is primarily used as a mood stabilizer and anticonvulsant. It is not typically used as a first-line treatment for major depressive disorder, although it may be used in cases of bipolar disorder.

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A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?

A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?

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