A nurse is assessing a newly hospitalized patient. Select the best example of 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’ve also had traumatic life experiences; maybe it would help to share them

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

Let’s discuss your treatment plan and how we can make it work for you

Answer and Explanation

The Correct Answer is A

Choice A reason: Offering self involves making oneself available to the patient, fostering trust through presence and empathy. Sitting with the patient to facilitate comfort aligns with therapeutic communication, creating a safe space for dialogue, critical in psychiatric nursing, making this the correct choice.

Choice B reason: Sharing the nurse’s personal experiences shifts focus from the patient, risking boundary violations. This is non-therapeutic, as it does not prioritize the patient’s needs or foster their openness, failing to demonstrate the "offering self" technique, making this choice incorrect.

Choice C reason: Asking why the patient struggled with adjustment is a probing question that may feel confrontational. It does not convey availability or empathy, key to "offering self," but instead seeks explanation, potentially hindering trust, making this choice non-therapeutic and incorrect.

Choice D reason: Discussing the treatment plan focuses on clinical tasks, not emotional availability. While collaborative, it does not specifically demonstrate "offering self," which emphasizes presence and support to build trust, making this choice less aligned with the therapeutic technique described.

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Correct Answer is C

Explanation

Choice A reason: GABA, an inhibitory neurotransmitter, reduces neuronal activity, not enhances cognitive functions like memory. Memory improvement is associated with cholinergic or glutamatergic systems, not GABA, making this choice incorrect for the expected effect of GABA potentiation.

Choice B reason: Fewer visual hallucinations are associated with antipsychotics affecting dopamine, not GABA. GABA’s inhibitory effects calm the brain but do not directly target psychotic symptoms like hallucinations, making this choice incorrect for the medication’s effect.

Choice C reason: GABA potentiation, as with benzodiazepines, enhances inhibitory effects, reducing neuronal excitability and calming the central nervous system. This directly alleviates anxiety, a primary therapeutic effect, aligning with GABA’s role in anxiety disorders, making this the correct choice.

Choice D reason: Increased alertness is contrary to GABA’s inhibitory effects, which promote sedation. Stimulants, not GABAergic drugs, enhance alertness, making this choice incorrect, as GABA potentiation leads to calming, not stimulating, effects on the brain.

A. This medication is commonly prescribed to help people sleep B. This is a great alternative for clients experiencing sexual dysfunction due to other medications used to treat depression C. Some clients take this medication for treatment of depression D. This medication can be used to help clients stop smoking

Correct Answer is ["B","C"]

Explanation

Choice A reason: Bupropion is not primarily a sedative; it is an atypical antidepressant that stimulates norepinephrine and dopamine. It may cause insomnia, not promote sleep, making this statement incorrect. Sedative medications like zolpidem are used for sleep, not bupropion, which has activating properties.

Choice B reason: Bupropion has a lower risk of sexual dysfunction compared to SSRIs, making it a suitable alternative for depression treatment in patients experiencing this side effect. Its mechanism avoids serotonin-related sexual issues, supporting its use in such cases, making this a correct choice.

Choice C reason: Bupropion is FDA-approved for major depressive disorder, acting on norepinephrine and dopamine to alleviate depressive symptoms. It is commonly prescribed for depression, making this statement true and a correct choice, as it aligns with its primary clinical use.

Choice D reason: Bupropion, under the brand Zyban, is approved for smoking cessation, as it reduces nicotine cravings and withdrawal symptoms by modulating dopamine pathways. This evidence-based use makes the statement true, correctly identifying bupropion’s role in smoking cessation programs.

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A nurse is assessing a newly hospitalized patient. Select the best example of the communication technique of "offering self."

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?

Correct Answer is C

Explanation

Which statements are true about bupropion? (Select all that apply)

Correct Answer is ["B","C"]

Explanation

A nurse is working with a patient diagnosed with schizophrenia who is experiencing auditory hallucinations. Which intervention best supports the patient in managing these symptoms?

When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in that supports the theory of interpersonal relations?

Which patient meets criteria for involuntary hospitalization for psychiatric treatment?

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

A patient tells the nurse, "I don’t think I’ll ever get out of here." Select the nurse’s most therapeutic response.

An adult says, "I have no answers," and "My opinion does not count." Which psychosocial crisis was unsuccessfully resolved for this adult?

What is an important nursing consideration for patients taking a nonbenzodiazepine such as zolpidem?

A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned the patient received a notice of eviction immediately prior to admission. Select the nurse’s most appropriate action.