A patient tells the nurse, "I don’t think I’ll ever get out of here." Select the nurse’s most therapeutic response.

Don’t speak that way. Of course, you will leave here!

Keep up the good work and you will leave soon

Everyone feels that way sometimes

It sounds as though you don’t think you’re making progress?

Answer and Explanation

The Correct Answer is D

Choice A reason: Dismissing the patient’s feelings by saying they will leave is non-therapeutic, as it invalidates their emotions. Therapeutic communication requires empathy and exploration of feelings, not reassurance that may feel dismissive, as it fails to address the patient’s underlying concerns, making this choice incorrect.

Choice B reason: Encouraging effort with a promise of discharge is overly optimistic and may pressure the patient, ignoring their emotional state. Therapeutic responses focus on understanding feelings, not conditional reassurance, which can undermine trust in psychiatric care, making this response non-therapeutic and incorrect.

Choice C reason: Generalizing the patient’s feelings as common minimizes their unique experience, reducing therapeutic engagement. It fails to explore the patient’s specific concerns or foster a trusting nurse-patient relationship, which is critical in mental health care, making this response non-therapeutic and incorrect.

Choice D reason: Reflecting the patient’s statement by exploring perceived lack of progress demonstrates active listening and empathy, key to therapeutic communication. It encourages the patient to elaborate on feelings, fostering trust and insight, aligning with psychiatric nursing principles, making this the most therapeutic and correct

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Correct Answer is A

Explanation

Choice A reason: In Peplau’s orientation phase, the nurse establishes trust, fosters collaboration, and sets boundaries to build a therapeutic relationship. This foundation is critical for patients with psychiatric disorders, ensuring a safe space for engagement, making this the correct choice.

Choice B reason: Medication adherence is a clinical intervention addressed later, in the working phase, not orientation. The initial phase focuses on relationship-building, not specific treatments, making this choice incorrect for the orientation phase’s goals.

Choice C reason: Coping skill development occurs in the working phase, after trust is established. Orientation prioritizes relationship foundations like trust and boundaries, not skill-building, making this choice incorrect for the initial nurse-patient interaction phase.

Choice D reason: Long-term goals are addressed in the working or termination phases, not orientation, which focuses on establishing trust and rapport. Setting goals prematurely may hinder relationship-building, making this choice incorrect for the orientation phase.

A. Orientation phase B. Working phase C. Termination phase D. Pre-group phase

Correct Answer is C

Explanation

Choice A reason: The orientation phase focuses on establishing group norms, trust, and goals, not addressing termination. Discussing endings at this stage could disrupt group cohesion and engagement, as members are building relationships, making this choice incorrect for introducing termination.

Choice B reason: The working phase emphasizes active therapeutic work, such as addressing conflicts and goals. Termination is not the focus, as members are engaged in processing issues. Introducing termination here could distract from ongoing work, making this choice incorrect.

Choice C reason: The termination phase is designed to address group closure, reviewing progress and preparing for separation. Discussing termination aligns with this phase’s focus on processing endings and transitioning, a key aspect of group therapy dynamics, making this the correct choice.

Choice D reason: The pre-group phase involves planning and recruitment, not therapeutic activities like addressing termination. This phase sets the stage for group formation, not closure, making it inappropriate for discussing termination, rendering this choice incorrect.

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A patient tells the nurse, "I don’t think I’ll ever get out of here." Select the nurse’s most therapeutic response.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Hildegard Peplau came up with the phases of the nurse-patient relationship. What does the nurse address during the orientation phase with a patient diagnosed with a psychiatric disorder?

Correct Answer is A

Explanation

In which phase of group therapy should the nurse plan to first address termination?

Correct Answer is C

Explanation

Silence can be a helpful therapeutic tool for group participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. Which statement best supports this?

An adult says, "I have no answers," and "My opinion does not count." Which psychosocial crisis was unsuccessfully resolved for this adult?

A patient begins therapy with clozapine medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect?

Transference is best described as which of the following?

A nurse uses Maslow's hierarchy of needs to plan care for a patient diagnosed with mental illness. Which problem will receive priority?

Which comment indicates the patient perceived the nurse was caring?

A nurse is assessing a newly hospitalized patient. Select the best example of the communication technique of "offering self."

An adolescent hospitalized after a physical outburst tells the nurse, "I’m going to kill my father, but you can’t tell anyone." Select the nurse’s best response.