A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

"Have you been thinking about harming yourself?"

"Why do you feel like things will never work out?"

“You should try to focus on yourself for a change."

“Maybe an antidepressant will make you feel better."

Answer and Explanation

The Correct Answer is A

A.   This response directly addresses the potential for self-harm, which is a critical concern when a client expresses hopelessness. It is an open-ended question that invites the client to discuss their feelings and provides the nurse with information to assess the client's safety.
B.   Asking the client a why question may not be alright and this may make them to be guarded.
C.   This response may come off as dismissive and lacks empathy towards the client's feelings.
D.   Suggesting medication without further assessment is premature and may not address the root cause of the client's statement.

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Correct Answer is C

Explanation

A. Soy protein is not known to interact adversely with fluoxetine.

B. Echinacea is not known to interact adversely with fluoxetine.

C. St. John's wort is known to interact adversely with fluoxetine by increasing serotonin levels, which can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, and high blood pressure.
D. Ginkgo biloba is not known to interact adversely with fluoxetine.

A. Inform the client about confidentiality rights. B. Establish boundaries between the nurse and the client. C. Set short- and long-term objectives for the future. D. Evaluate progress toward predetermined goals.

Correct Answer is D

Explanation

A. Informing the client about confidentiality rights typically occurs during the orientation phase of the therapeutic relationship, not the working phase.
B. Establishing boundaries between the nurse and the client is an ongoing process that occurs throughout the therapeutic relationship, not just during the working phase.
C. Setting short- and long-term objectives for the future typically occurs during the orientation phase and continues throughout the therapeutic relationship, not just during the working phase.
D. During the working phase of the therapeutic relationship, the nurse and client collaborate to achieve the goals identified during the orientation phase. The nurse evaluates the client's progress toward these goals and adjusts interventions as necessary to promote therapeutic outcomes.

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A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements Interacts adversely with fluoxetine?

Correct Answer is C

Explanation

A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?

Correct Answer is D

Explanation

A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply.)

A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?

A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?

A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?

A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?

A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?