A nurse in a mental health clinic is observing clients in the day room. The nurse sits down to talk with an adolescent client who was admitted with clinical depression. After a few minutes of conversation, the adolescent asks the nurse, "Why did you choose to talk to me out of this room full of kids?" Which of the following responses by the nurse is therapeutic?
"You looked like you would be the most likely to talk back with me."
"Let's go see what activities are going on outside."
"Why shouldn't I talk to you? You looked lonely."
"You're curious why I am interested in you and not the others?"
The Correct Answer is D
A. This response does not address the adolescent's underlying question and may come across as dismissive.
B. This response avoids addressing the adolescent's question and suggests changing the subject.
C. This response is somewhat confrontational and does not explore the adolescent's feelings or concerns.
D. This response acknowledges the adolescent's curiosity and opens the door for further discussion about why the nurse chose to engage with them. It invites the adolescent to explore their feelings and thoughts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Rationale: The recommended hepatitis vaccine series does not consist of four vaccines. The Advisory Committee on Immunization Practices (ACIP) recommends a 3-dose series for most individuals, which includes doses at birth, 1-2 months, and 6-18 months.
Choice B Rationale: Hepatitis B is not typically transmitted by contaminated food. It is primarily spread through exposure to infectious blood, semen, and other body fluids. Transmission can occur through direct contact with blood or body fluids of an infected person, unprotected sex, sharing needles, or from mother to child at birth.
Choice C Rationale: While chronic hepatitis C has been associated with an increased risk of developing renal cell carcinoma, the evidence linking chronic hepatitis B with renal cell cancer is less clear. Some studies suggest a potential association, but it is not established as a common complication.
Choice D Rationale: Individuals with a history of hepatitis B or C are generally ineligible to donate blood. This is due to the risk of bloodborne transmission of these viruses. Even if the individual has recovered or been cured of hepatitis C, they are still barred from donating blood or plasma.
Correct Answer is B
Explanation
A. Beef liver - Beef liver is high in cholesterol and should be limited in the diet of someone with increased cholesterol levels.
B. Egg whites - Egg whites are low in cholesterol and can be a good source of protein for someone with increased cholesterol levels. It's the yolk of the egg that contains most of the cholesterol, so recommending egg whites is a good choice.
C. Steamed clams - Clams are low in cholesterol, but they are high in sodium, which may not be recommended for someone with increased cholesterol levels, depending on their overall dietary needs.
D. Broiled lobster - Lobster is high in cholesterol and should be limited in the diet of someone with increased cholesterol levels.
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