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: Autonomy involves respecting a patient’s right to make decisions. While relevant in mental health, the scenario focuses on differing treatments for similar conditions, not patient choice, making autonomy less directly applicable than the principle of fair treatment across patients.

Choice B reason: Beneficence emphasizes promoting patient well-being. Both restraints and supervision aim to prevent harm, fulfilling beneficence, but the concern is about unequal treatment, not the intent to benefit, making this principle less relevant than justice.

Choice C reason: Justice involves fair and equitable treatment for all patients. Using restraints for one self-mutilating patient and supervision for another raises concerns about consistency and fairness in care, directly aligning with the ethical principle of justice, making this the correct choice.

Choice D reason: Nonmaleficence focuses on avoiding harm. Both interventions aim to prevent self-mutilation, fulfilling this principle, but the ethical issue is about equitable application, not harm avoidance, making justice the more relevant principle in this scenario.

A. Monitor for weight gain and metabolic changes B. Watch for movement disorders like tardive dyskinesia C. Report any signs of infection immediately D. Expect improved mood within days

Correct Answer is B

Explanation

Choice A reason: Weight gain and metabolic changes are side effects of clozapine, primarily due to its antihistaminic and serotonergic effects, not its dopaminergic action. Dopamine blockade is more associated with movement disorders, making this choice incorrect for teaching related to dopaminergic effects.

Choice B reason: Clozapine’s strong dopaminergic effect, particularly D2 receptor blockade, can cause extrapyramidal symptoms like tardive dyskinesia, a movement disorder. Patient education must emphasize monitoring for abnormal movements, as these are significant risks in antipsychotic therapy, making this the correct choice.

Choice C reason: Infection risk, particularly agranulocytosis, is a serious clozapine side effect but is unrelated to its dopaminergic action. It stems from bone marrow suppression, requiring blood monitoring, not dopamine-related teaching, making this choice incorrect for the question’s focus.

Choice D reason: Improved mood is not a direct result of clozapine’s dopaminergic effect, which primarily addresses psychotic symptoms. Mood changes occur over weeks and involve multiple receptors, not just dopamine, making this choice incorrect for dopaminergic-focused teaching.

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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

Correct Answer is C

Explanation

A patient begins therapy with clozapine medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect?

Correct Answer is B

Explanation

Which patient meets criteria for involuntary hospitalization for psychiatric treatment?

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

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

A nurse is conducting a mental health assessment for a patient reporting persistent feelings of hopelessness. Which intervention best aligns with evidence-based practice for addressing this symptom?

Hildegard Peplau came up with the phases of the nurse-patient relationship. What does the nurse address during the orientation phase with a patient diagnosed with a psychiatric disorder?

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

A nurse is caring for patients receiving clozapine, lithium, fluoxetine, and venlafaxine. Which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance?

Which of the following are examples of a nurse using non-therapeutic communication techniques? (Select all that apply)