A nurse is caring for a client who states, "I don’t belong here." Which response is most appropriate?
Were you feeling this way before this hospitalization?
You don’t think this is the right place for your care?
Suggest you discuss your concerns with the doctor in the morning
This is an inappropriate statement for you to make
The Correct Answer is B
Choice A reason: Asking if the client felt this way before hospitalization focuses on past feelings, which may not address the current emotional state or therapeutic needs. While it gathers history, it lacks empathy and does not encourage the client to elaborate on their current concerns, making it less therapeutic.
Choice B reason: Reflecting the client’s statement by asking if they feel the setting is wrong demonstrates active listening and empathy, key components of therapeutic communication. It encourages the client to express feelings, fostering trust and exploration of their concerns, aligning with psychiatric nursing principles, making this the correct choice.
Choice C reason: Suggesting the client discuss concerns later with a doctor dismisses their current emotional state, potentially undermining trust in the nurse-client relationship. It avoids immediate engagement and fails to address the client’s feelings, which is critical in psychiatric care, making this response non-therapeutic and incorrect.
Choice D reason: Labeling the client’s statement as inappropriate is judgmental and dismissive, hindering therapeutic communication. It may increase the client’s sense of alienation or shame, contrary to psychiatric nursing goals of building trust and validating feelings. This response is non-therapeutic and does not support the client’s emotional needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Focusing on the nurse’s experiences shifts attention from the patient, undermining therapeutic communication. This violates psychiatric nursing principles, which prioritize patient-centered dialogue to build trust and explore feelings, making this a non-therapeutic technique that disrupts effective mental health care.
Choice B reason: Making value judgments imposes the nurse’s beliefs on the patient, creating a judgmental environment. This hinders open communication, fosters defensiveness, and undermines trust, contrary to therapeutic communication goals in mental health nursing, making this a correct choice for non-therapeutic behavior.
Choice C reason: Giving advice assumes the nurse knows best, disempowering the patient and limiting self-exploration. Therapeutic communication encourages patients to find their own solutions, making advice-giving non-therapeutic, as it disrupts autonomy and trust, correctly identifying this as a non-therapeutic technique.
Choice D reason: Active listening, involving empathy and nonverbal cues, is a cornerstone of therapeutic communication. It fosters trust and validates patient feelings, essential in mental health care. This technique enhances therapeutic relationships, making it incorrect as a non-therapeutic communication example.
Correct Answer is B
Explanation
Choice A reason: GABA is an inhibitory neurotransmitter that reduces neuronal activity, promoting calm. In fear, the sympathetic nervous system activates, increasing heart rate and blood pressure, driven by excitatory neurotransmitters, not GABA, which would counteract these effects, making this choice incorrect.
Choice B reason: Norepinephrine, a catecholamine, activates the sympathetic nervous system during fear, increasing heart rate and blood pressure via the fight-or-flight response. Its heightened activity in stress aligns with the patient’s symptoms, making this the correct neurotransmitter choice.
Choice C reason: Histamine regulates arousal and allergic responses but is not primarily responsible for cardiovascular changes in fear. Its role in the brain is less direct than norepinephrine in driving sympathetic activation, making this choice incorrect for the symptoms described.
Choice D reason: Serotonin modulates mood and anxiety but does not directly cause acute cardiovascular changes like increased heart rate and blood pressure in fear. These are driven by norepinephrine’s sympathetic activation, making serotonin an incorrect choice for this scenario.
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