A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

“Am I correct in understanding that…?”

“What are the common elements here?”

“Tell me everything from the beginning.”

“Tell me again about your experiences.”

Answer and Explanation

The Correct Answer is A

Choice A reason: This question verifies the nurse’s interpretation, ensuring accurate understanding of concerns linked to emotional dysregulation, possibly from serotonin imbalances. It promotes therapeutic communication, engaging prefrontal cortex processing to clarify patient emotions, reducing miscommunication and fostering trust in psychiatric interactions.

Choice B reason: Asking for common elements seeks patterns, not clarification of specific concerns. Emotional concerns, tied to amygdala hyperactivity, require precise understanding. This question is too vague, risking misinterpretation of neurobiological emotional cues, making it less effective for therapeutic clarification in psychiatric care.

Choice C reason: Requesting a full recount is inefficient and may overwhelm patients with anxiety or cognitive deficits, like those from dopamine dysregulation. Clarification needs targeted questions to confirm specific concerns, not a broad restart, making this approach inappropriate for effective therapeutic communication.

Choice D reason: Asking to repeat experiences may frustrate patients and fail to clarify specific points. Emotional concerns, linked to stress-induced cortisol spikes, need focused verification. This vague request risks missing neurobiological nuances, making it less effective than direct confirmation for therapeutic clarification.

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Correct Answer is B

Explanation

Choice A reason: Process recordings are for nurse self-reflection, not client analysis. They examine nurse communication, not patient abnormalities. Client communication issues, like disorganized speech in schizophrenia, are assessed clinically, not via recordings, making this option incorrect for the tool’s purpose in psychiatric practice.

Choice B reason: Process recordings analyze the nurse’s communication impact, assessing verbal and nonverbal cues on client responses. Effective communication, processed via mirror neurons, fosters therapeutic alliances, calming amygdala-driven anxiety. This self-evaluation improves nurse effectiveness, aligning with the scientific purpose of process recordings in psychiatric care.

Choice C reason: Identifying client communication abnormalities is a clinical assessment task, not the purpose of process recordings. Recordings focus on nurse interactions, not patient speech patterns, like those in mania. This option misaligns with the tool’s introspective goal, making it incorrect for its intended use.

Choice D reason: Clients exploring alternate techniques is a therapeutic goal, not the purpose of process recordings. Recordings analyze nurse communication, not patient skill-building. Effective nurse responses can reduce stress-related cortisol spikes, but this is secondary, making this option incorrect for the recording’s primary purpose.

A. “You should expect weight loss.” B. “You should expect to feel drowsy.” C. “You should expect to experience insomnia.” D. “You should expect your blood pressure to increase.”

Correct Answer is B

Explanation

Choice A reason: Histamine blockade, as in antipsychotics like olanzapine, promotes sedation, not weight loss. Weight gain is common due to histamine’s role in appetite regulation via hypothalamic signaling. Weight loss is not a typical side effect, making this response inaccurate for histamine-blocking medications.

Choice B reason: Histamine receptor blockade, common in medications like quetiapine, reduces wakefulness by inhibiting histamine’s alerting effects in the cortex. This causes drowsiness, a frequent side effect in psychiatric treatments, aligning with the pharmacological mechanism and making this the correct response.

Choice C reason: Insomnia is not typical with histamine blockade, which promotes sedation. Histamine enhances alertness; blocking it, as in antihistaminic antipsychotics, induces sleepiness, not wakefulness. This response contradicts the neuropharmacological effect, making it incorrect for expected side effects.

Choice D reason: Blood pressure increase is unrelated to histamine blockade. Histamine affects wakefulness and appetite, not vascular tone directly. Antihistaminic drugs may cause orthostatic hypotension via other receptors, not hypertension, making this response inaccurate for histamine-blocking medication effects.

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A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing student understands that the purpose of completing a process recording for the nurse-patient interview is to:

Correct Answer is B

Explanation

A client is newly prescribed a medication that will block the effects of histamine for the treatment of a mental health disorder. The client asks, “What side effects should I anticipate with this new medication?” Which response by the nurse is accurate?

Correct Answer is B

Explanation

Which medication would be considered a first-line medication therapy for generalized anxiety disorder (GAD)?

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