A nurse in an acute mental health facility is caring for a client who has major depressive disorder. Since her admission 3 days ago, she has not put on clean clothes, washed her hair, or participated in any of the unit activities. On this day, the nurse observes that she is wearing clean clothes and has combed her hair. Which of the following responses should the nurse make?

"Your mood must be lifting because you have on clean clothes and have combed your hair.".

"Oh, I'm so pleased that you finally put on clean clothes.".

"I see that you have on clean clothes and have combed your hair.".

"Why did you wear clean clothes and comb your hair today?".

Answer and Explanation

The Correct Answer is C

A. "Your mood must be lifting because you have on clean clothes and have combed your hair.": This makes an assumption about the client’s mood, which may not be accurate and can be interpreted as minimizing the client’s ongoing struggle.

B. "Oh, I'm so pleased that you finally put on clean clothes.": This response might come across as condescending or patronizing, which can negatively impact the therapeutic relationship.

C. "I see that you have on clean clothes and have combed your hair."This response is an example of therapeutic communication that acknowledges the client’s actions without making assumptions or passing judgment. It is an observational statement that recognizes the client's effort, which can help to encourage further positive behavior without imposing interpretations on the client's motivations.

D. "Why did you wear clean clothes and comb your hair today?": This could be interpreted as questioning the client's actions in a way that might make them feel defensive or uncomfortable.

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Free Nursing Study Resources

Correct Answer is D

No explanation

A. The nurse should administer fluoxetine 40 mg PO once B. The nurse should administer fluoxetine 40 mg PO daily C. The nurse should administer fluoxetine 40 mg PO weekly D. The nurse should administer fluoxetine 40 mg PO 3 times a day

Correct Answer is B

No explanation

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?

Correct Answer is D

A nurse is preparing to administer fluoxetine 40 mg PO daily. The amount available is fluoxetine 20 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.).

Correct Answer is B

A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

A patient comes to the emergency department with complaints of a headache and vomiting. Upon questioning, the patient says she is taking the drug phenelzine. The nurse should continue the assessment by first asking:.

Which of the following medication orders should the nurse question?

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.).

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A nurse is planning care for a client newly admitted with major depressive disorder. Which of the following actions should the nurse plan to take?

A nurse caring for a client who has depression observes the client coming to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?