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 D

Explanation

A. A busy family may experience stress, but this alone is not the greatest risk factor for abuse.
B. Multiple caregivers can sometimes create inconsistency in care, but it is not the primary factor.
C. Rural living may limit access to resources, but dementia itself poses a greater risk.
D. Dementia (especially Alzheimer’s disease) significantly increases vulnerability to abuse because of impaired memory, communication, and judgment, which limit the ability to report or stop mistreatment.

A. The patient states, "Talking to you feels like talking to my parents." B. The patient's reactions toward the nurse seem realistic and appropriate. C. The nurse develops a trusting relationship with the patient. D. The nurse feels unusually happy when the patient's mood begins to lift.

Correct Answer is D

Explanation

A. This is transference, where the patient projects feelings about another person onto the nurse.
B. Realistic, appropriate reactions suggest progress in the therapeutic relationship, not countertransference.
C. Developing trust is a goal in the nurse–patient relationship, not a problem.
D. Countertransference occurs when the nurse unconsciously transfers their own feelings to the patient, which can interfere with objectivity. Feeling unusually happy about the patient’s improvement signals the nurse’s personal emotional involvement beyond professional boundaries.

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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

An older adult diagnosed with dementia lives with family in a rural area. During the week, this adult attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this adult most vulnerable to abuse?

Correct Answer is D

Explanation

After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

Correct Answer is D

Explanation

A nurse is caring for a client in the emergency department (ED) Exhibits Which of the following client findings should the nurse report to the provider Immediately? (Select all that apply.)

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

An adult outpatient diagnosed with major depressive disorder has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed to this patient?

A nurse can anticipate teaching a patient to expect anticholinergic side effects such as dry mouth, blurred vision, mydriasis, constipation, and urinary retention when they are prescribed which medication?

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

A patient undergoing diagnostic tests says. "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes, coughs daily. lost 15 pounds and is easily fatigued. Which defense mechanism is the patient using?

A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?

A nurse in a substance abuse clinic is assessing a client who was recently prescribed disulfiram. The patient suddenly stopped taking this medication and is now complaining of severe nausea and vomiting. What should the nurse suspect is likely the cause of the client's distress?