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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Assessing lung sounds and extremities is not a priority in this context unless there are signs of fluid overload or other complications; it does not address the psychosocial aspect of anorexia recovery.
B. Positive reinforcement encourages the patient’s healthy behaviors and progress, helping to build motivation and self-esteem during the challenging refeeding process. Recognizing the patient’s achievement supports therapeutic engagement and adherence to treatment goals.
C. Immediately establishing a higher weight gain goal may increase anxiety or pressure on the patient, potentially undermining adherence and progress. Goals should remain realistic and individualized.
D. Suggesting aerobic exercise is inappropriate at this stage of refeeding, as excessive activity can interfere with weight restoration and may reinforce disordered behaviors.
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