A nurse is caring for a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?
"Tell me about what you are doing to reduce or cope with your stress."
"Have you tried to avoid the situations that are causing you so much stress?"
"I am trying to help you, but you haven't told me why you are overwhelmed yet."
"I would like to help you. Can you tell me more about what you are feeling?"
The Correct Answer is D
A. Asking about coping strategies may come across as advising or evaluating, rather than providing immediate therapeutic support.
B. Suggesting avoidance of stressors can be non-therapeutic, as it may imply judgment or oversimplify the client’s experience.
C. This response places blame on the client for not communicating, which is not therapeutic.
D. Expressing a desire to help while inviting the client to elaborate on their feelings demonstrates empathy, active listening, and validation. This approach encourages open communication and helps the client feel heard and supported, which are key components of a therapeutic response.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tyramine restrictions are associated with MAO inhibitors, not clozapine or other antipsychotics, so dietary counseling about tyramine is unnecessary for this medication.
B. While medication adherence is important for all antipsychotics to prevent relapse of psychosis, clozapine’s teaching priorities focus more on safety monitoring for serious adverse effects rather than adherence alone.
C. Limiting fluid intake is not a standard precaution for clozapine; hydration is generally encouraged unless there are specific comorbidities requiring fluid restriction.
D. Clozapine carries a risk of agranulocytosis, a potentially life-threatening drop in white blood cells that can increase susceptibility to infections. Clients must undergo regular complete blood counts (CBCs) and absolute neutrophil count (ANC) monitoring, initially weekly, then gradually spaced to every 2–4 weeks if stable, to detect hematologic complications early. Educating the client on this requirement is essential to ensure safe, effective, and compliant use of the medication.
Correct Answer is A
Explanation
A. Loss of a job is a significant psychosocial stressor that can contribute to feelings of hopelessness, depression, and increased risk of suicidal ideation or attempts. It is recognized as a risk factor for suicide.
B. Financial stability is generally protective against suicide, reducing stress and promoting a sense of security.
C. Exercising caution in behavior is not a known risk factor; it may reflect responsible coping rather than increased risk.
D. Engaging in extracurricular activities is usually protective, as it provides social support, structure, and a sense of purpose.
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