A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

"I’d like to sit with you for a while to help you get comfortable talking to me."

"I hope you will feel better after getting accustomed to how this unit operates."

"Why do you think you had so much difficulty adjusting to this change in your life?"

"I’ve also had traumatic life experiences. Maybe it would help if I told you about them."

Answer and Explanation

The Correct Answer is A

A.   This statement demonstrates the nurse's willingness to spend time with the patient to build rapport and trust, offering the nurse's presence and support.
B.   This statement expresses hope but doesn't directly offer the nurse's presence or support.
C.   This question encourages exploration of the patient's feelings but doesn't directly offer the nurse's presence.
D.   This statement shares personal experiences but doesn't directly offer the nurse's presence or support.

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Correct Answer is A

Explanation

A. For a client with severe depression, a calm and direct approach is beneficial. Sitting with the client and offering simple, clear information can help establish trust and rapport.
B. Attending group therapy immediately might overwhelm the client, especially if they are newly admitted and experiencing severe depression.
C. Taking the client on a tour and introducing all staff members might be overwhelming or excessive for someone with severe depression.
D. While explaining unit policies is important, a direct informational approach might be more effective initially given the severity of the client's condition.

A. Decreased extrapyramidal symptoms B. Reduced levels of motor activity C. Logical thought processes D. Mood improvement

Correct Answer is D

Explanation

A. Extrapyramidal symptoms are more commonly associated with antipsychotic medications rather than SSRIs.
B. SSRIs might have varying effects on motor activity, but this is not a primary outcome for their use.
C. While SSRIs may indirectly contribute to cognitive improvements, the primary expected outcome revolves around mood changes rather than thought processes.
D. SSRIs are primarily used to treat mood disorders like depression and anxiety, and the main goal of their use is to improve mood and emotional symptoms. Therefore, the expected outcome criteria often relate to mood improvement.

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A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?

Correct Answer is A

Explanation

A nurse caring for a patient prescribed a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to what outcome?

Correct Answer is D

Explanation

A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?

Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?

A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's highest priority is to screen this soldier for which problem?

After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?

A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?