A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states, "I don't know what to do. Everything has been happening so quickly." Which of the following responses by the nurse is therapeutic?
"You did the right thing by bringing your partner in for treatment."
"Why do you think your partner's symptoms are progressing so quickly?"
"Can you talk about what was happening with your partner at home?"
"You should make sure your partner takes the prescribed medication."
The Correct Answer is C
A. "You did the right thing by bringing your partner in for treatment.": While supportive, this statement provides reassurance rather than facilitating expression of feelings or exploration of the partner’s experience. Therapeutic communication focuses on encouraging dialogue and understanding.
B. "Why do you think your partner's symptoms are progressing so quickly?": Asking “why” can come across as judgmental and may make the partner defensive. It does not encourage open discussion about feelings or experiences, which is central to therapeutic interaction.
C. "Can you talk about what was happening with your partner at home?": This open-ended statement encourages the partner to describe observations and feelings, promoting emotional expression and building rapport. It facilitates assessment of the home environment and caregiving challenges, which is essential in planning support.
D. "You should make sure your partner takes the prescribed medication.": This directive focuses on compliance rather than exploring the partner’s emotional state or providing support. It does not address the partner’s immediate feelings of overwhelm and uncertainty.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Expected outcome of the procedure: The provider must explain the expected outcome so the client understands the purpose and anticipated benefits of the colon resection. This information is essential for informed consent.
B. Cost of the procedure: The financial cost is not part of the informed consent process and is typically discussed by administrative or billing staff, not the provider. It does not affect the client’s medical decision-making.
C. Potential complications: The provider must inform the client of potential risks and complications associated with the procedure. Understanding possible adverse outcomes is critical for the client to make an informed choice.
D. Explanation of the procedure: A clear explanation of how the procedure will be performed allows the client to understand what to expect during surgery, which is a core component of informed consent.
E. Possible alternative treatments: The provider should discuss alternative treatments or procedures, including non-surgical options, so the client can weigh all choices and make an informed decision about care.
Correct Answer is A
Explanation
A. Critical pathways should reduce health care costs: Critical pathways are structured, multidisciplinary care plans designed to improve efficiency, standardize care, and optimize resource utilization. By promoting evidence-based practices and reducing unnecessary interventions, they help lower overall health care costs.
B. Critical pathways have an unlimited timeframe for completion: Critical pathways are time-specific and outline expected progress within defined periods. An unlimited timeframe would defeat the purpose of tracking efficiency and outcomes, which is central to their function.
C. Nurses' notes are used to create the critical pathway: Critical pathways are developed from evidence-based guidelines and multidisciplinary input, not solely from nurses’ documentation. While nurses contribute to care documentation, notes do not serve as the foundation for pathway creation.
D. Nurses should discontinue the critical pathway if variances occur: Variances from the expected pathway do not warrant discontinuation. Instead, variances are documented and analyzed to understand deviations, inform quality improvement, and guide individualized care adjustments.
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