A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent for most of the session. Another patient comes to the door of the room, interrupts, and says, “I really need to talk to you right now.” The nurse should:

Say to the interrupting patient, “I am not available to talk with you at the present time”

End the unproductive session with the current patient and spend time with the patient who has just interrupted

Invite the interrupting patient to join in the session with the current patient

Tell the patient who interrupted, “This session will be 5 more minutes; then, I will talk with you”

Answer and Explanation

The Correct Answer is D

Choice A reason: Bluntly stating unavailability dismisses the interrupting patient’s needs without offering a solution, potentially escalating distress. This approach lacks therapeutic communication, as it fails to acknowledge the patient’s urgency or provide a clear plan, which is critical in maintaining trust in a mental health setting.

Choice B reason: Ending the current session prematurely disrespects the silent patient’s therapeutic process. Silence may reflect processing or discomfort, requiring time to build trust. Abruptly shifting focus undermines the current patient’s care, potentially worsening their mental health and disrupting the therapeutic relationship.

Choice C reason: Inviting the interrupting patient to join violates confidentiality and disrupts the current patient’s safe space. Combining sessions without consent breaches ethical principles, potentially causing discomfort or mistrust, which hinders therapeutic progress for both patients in a mental health context.

Choice D reason: Acknowledging the interruption and scheduling a follow-up in 5 minutes respects both patients’ needs. It maintains the current patient’s therapeutic time while addressing the interrupting patient’s urgency, ensuring fairness and trust. This approach upholds ethical care and supports a therapeutic environment for mental health treatment.

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Free Nursing Study Resources

Correct Answer is ["3.2"]

Explanation

The correct answer is 3.2 mL
Explanation:
Step 1 is identify the total dose ordered
800 mg

Step 2 is identify the concentration after reconstitution
Each mL contains 250 mg

Step 3 is divide the total dose by the concentration per mL
(800 ÷ 250) = 3.2

Result = 3.2 mL

A. Apologize for asking such a personal and intrusive question B. Encourage the client to make a list of their concerns and offer to discuss it with them on how to cope with homelessness C. Divert the subject to something the client will readily discuss D. Sit quietly allowing the client time to process before responding

Correct Answer is D

Explanation

Choice A reason: Apologizing for the question may imply it was inappropriate, undermining the therapeutic intent to explore emotions. Homelessness is a valid topic in mental health care, and apologizing could discourage further discussion, disrupting trust and the client’s ability to process and express difficult emotions.

Choice B reason: Encouraging a list of concerns shifts focus to problem-solving prematurely, potentially overwhelming the client who is processing emotions. This action disregards the client’s need for reflection, which is critical in therapeutic communication to facilitate emotional expression and address underlying psychological distress effectively.

Choice C reason: Diverting the subject avoids the client’s emotional response, missing a therapeutic opportunity to explore feelings about homelessness. This can signal discomfort with the topic, reducing trust and hindering the client’s ability to process trauma, which is essential for mental health recovery and coping.

Choice D reason: Sitting quietly allows the client time to process complex emotions about homelessness, fostering a safe therapeutic environment. Silence supports reflection, enabling the client to articulate feelings at their pace, which enhances trust and facilitates deeper emotional exploration, making it the most therapeutic response in this context.

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A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent for most of the session. Another patient comes to the door of the room, interrupts, and says, “I really need to talk to you right now.” The nurse should:

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Naxlex Comprehensive Predictor Exams

The physician orders mefoxin (Cefoxitin) 800 mg IV Q 8 hours. To reconstitute the medications the instructions state to add 7.5 mL of NSS for a total of 8 mL with each mL containing 250 mg. How many millilitres will be given?

Correct Answer is ["3.2"]

Explanation

The nurse asks the client, “What was it like for you when you first realized you had no place to go?” The client looks down and pauses for quite some time. Which action by the nurse is most therapeutic?

Correct Answer is D

Explanation

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Which of the following is true regarding mental health and mental illness?

Which significant change in the treatment of people with mental illness occurred in the 1950s?

A nurse is performing safety assessments on a client in mechanical restraints as required by policy. Which action by the nurse demonstrates the ethical principle of nonmaleficence?

Which statement by a nurse may undermine a patient’s feelings and belittle the patient’s concerns?

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