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 B

Explanation

A. Clinical algorithms help in standardizing certain processes but might not specifically integrate evidence-based practice guidelines for evaluating therapy plans.
B. Clinical practice guidelines offer evidence-based recommendations, aiding healthcare providers in decision-making for specific conditions or treatments.
C. While the internet may provide information, it might lack the vetting and credibility of evidence-based practice guidelines provided by reputable sources.
D. Clinical pathways provide a structured approach to care delivery but might not inherently integrate evidence-based practice guidelines unless these are explicitly incorporated into the pathway.

A. Avoid exposure to bright sunlight B. Restrict sodium intake to 1g daily. C. Maintain a tyramine-free diet. D. Report increased suicidal thoughts

Correct Answer is D

Explanation

A. Avoiding exposure to bright sunlight is not specifically related to SSRIs; it may be a
consideration with certain medications due to photosensitivity but isn't a primary concern with SSRIs.
B. Restricting sodium intake isn't a directive associated with SSRI antidepressant therapy.
C. Maintaining a tyramine-free diet is a concern with certain antidepressants like MAOIs (Monoamine Oxidase Inhibitors) but not typically with SSRIs.
D. Reporting increased suicidal thoughts is a crucial directive because SSRIs may initially increase the risk of suicidal ideation, especially in the early stages of treatment.

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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

Which institution-specific clinical practice resource will the nurse use to integrate evidence- based practice (EBP) into the care of a client hospitalized for the purpose of the evaluation of his or her current therapy plan?

Correct Answer is B

Explanation

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

Correct Answer is D

Explanation

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?

When assessing a patient's plan for suicide, what aspect has priority?

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

A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?

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

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?