A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?

"Sooner or later, alcohol will kill you. Then what will happen to your children?"

"I hear a lot of defensiveness in your voice. Do you really believe this?"

"Tell me what happened the last time you drank."

"If you were coping so well, why were you hospitalized again?"

Answer and Explanation

The Correct Answer is C

A. This response is confrontational and judgmental, likely causing defensiveness rather than insight.
B. Pointing out defensiveness may provoke resistance rather than helping the patient analyze their behavior objectively.

C. This response encourages the patient to reflect on their own behavior and the consequences of drinking, promoting self-awareness and objective evaluation without judgment. It allows the patient to explore their actions and recognize patterns.

D. This response is accusatory and may make the patient feel blamed, which is not therapeutic.

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Correct Answer is B

Explanation

A. Mild anxiety usually presents with slight discomfort, restlessness, or irritability, and the client remains able to focus and problem-solve.

B. Severe anxiety is characterized by physical symptoms such as chest pain, headache, shortness of breath, and a preoccupation with specific concerns (e.g., personal problems) that limit the client’s ability to focus on other matters.

C. Panic involves sudden, intense terror or dread, often accompanied by inability to communicate or function, and may include distorted perceptions or irrational behavior. The client in this scenario can still verbalize concerns.

D. Moderate anxiety causes narrowing of attention and some tension or restlessness, but the physical manifestations and preoccupation in this scenario indicate a more severe level.

A. An advanced practice nurse recommends hospitalization for a patient who is dangerous to self and others. B. The plan of care for a patient is not completed within 24 hours of the patient's admission. C. A nurse gives an as needed (prn) dose of an antipsychotic drug to an agitated patient because the unit is short-staffed. D. A patient's admission status changed from involuntary to voluntary after the patient's hallucinations subside.

Correct Answer is C

Explanation

A. Recommending hospitalization for a patient who is dangerous to self or others is an example of appropriate professional judgment and does not constitute a tort.

B. Delays in completing a plan of care may reflect poor documentation or practice issues, but it is not automatically considered a tort.

C. Administering medication to a patient solely due to staffing issues, rather than based on clinical need or prescription, constitutes battery or negligence, which are examples of torts in healthcare law.

D. Changing a patient’s admission status based on clinical improvement is appropriate practice and not a tort.

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A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state. "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

Correct Answer is B

Explanation

Select an example of a tort.

Correct Answer is C

Explanation

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