A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?
"If you do not like your medications, would you like to try an alternative?"
"Would you like to speak to a therapist after treatment?"
"You would like more information. I will get that for you right away."
"You feel like you have no remaining options and are struggling to find a solution."
The Correct Answer is D
D. This response reflects empathy and validates the client's feelings of hopelessness. It acknowledges the client's emotional state and demonstrates active listening. By reflecting back the client's words, the nurse conveys understanding and creates an opportunity for further exploration of the client's feelings and concerns.
A. While addressing medication concerns is important, this response may not fully acknowledge the client's feelings of hopelessness and may come across as dismissive of their emotional distress.
B. This response offers the client an opportunity to speak with a therapist, which can be beneficial for addressing emotional distress and exploring coping strategies. However, it does not directly acknowledge the client's current feelings of hopelessness
C. This response does not address the client's feelings of hopelessness and may not effectively validate their emotional experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A serum lithium level of 1.6 mEq/L is above the therapeutic range, indicating lithium toxicity. Manifestations of lithium toxicity can include neurological symptoms such as blurred vision and jerking motor movements. Other symptoms may include nausea, vomiting, diarrhea, tremors, confusion, drowsiness, and muscle weakness.
B. Fever and fluctuating blood pressure are not typical manifestations of lithium toxicity.
C GI discomfort, such as nausea, vomiting, and diarrhea, is a common symptom of lithium toxicity. Poor coordination, along with tremors and muscle weakness, can also occur due to the effects of lithium on the central nervous system.
D. Lip smacking and tongue thrusting are repetitive and involuntary movements associated with certain types of seizures or seizure disorders, but they are not typically observed in lithium toxicity.
Correct Answer is D
Explanation
D. Factitious disorder, also known as Munchausen syndrome, is a mental health condition characterized by a pattern of behavior in which an individual deliberately fabricates, exaggerates, or induces physical or psychological symptoms in themselves to assume the role of a patient.
A. This disorder involves preoccupation with having or acquiring a serious illness despite minimal or no somatic symptoms.
B. This disorder involves the presence of neurological symptoms that are incompatible with known neurological conditions and cannot be explained by another medical or mental disorder. C Dissociative amnesia involves the inability to recall important personal information, often related to traumatic or stressful events.
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