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 C

Explanation

Choice A reason: Including the child in group activities promotes socialization but is not operant conditioning, which uses rewards to reinforce specific behaviors like speech. This approach lacks direct reinforcement, making it ineffective for the targeted behavior, thus incorrect.

Choice B reason: Observing others talking may model behavior but is not operant conditioning, which requires direct reinforcement of the desired action (speech). Passive observation does not provide the reward structure needed to encourage speech, making this choice incorrect.

Choice C reason: Operant conditioning uses positive reinforcement, like giving a treat for speaking, to increase the desired behavior. This directly rewards the child’s speech, aligning with behavioral psychology principles to encourage verbalization, making this the correct choice.

Choice D reason: Relaxation techniques address anxiety but are not operant conditioning, which focuses on reinforcing specific behaviors with rewards. They do not directly encourage speech, making this choice incorrect for the behavioral approach specified in the treatment plan.

A. A health care provider gives a telephone order B. A peer fails to provide patient care due to being under the influence of alcohol C. A team member violates relationship boundaries with a patient D. A medication is prescribed by a licensed health care provider

Correct Answer is B

Explanation

Choice A reason: A provider giving a telephone order is a standard practice in healthcare, not inherently requiring reporting unless the order is unsafe. It does not indicate negligence or ethical violations, unlike impaired practice or boundary issues, making it incorrect for mandatory intervention and reporting.

Choice B reason: A peer under the influence of alcohol compromises patient safety due to impaired judgment and coordination, a serious ethical and professional violation. Nurses are obligated to report such behavior to protect patients, aligning with nursing ethics and safety protocols, making this a correct choice.

Choice C reason: Violating relationship boundaries with a patient, such as inappropriate personal interactions, breaches ethical standards and risks patient harm. Nurses must report this to ensure patient safety and maintain professional integrity, aligning with mental health care ethics, making this a correct choice.

Choice D reason: A licensed provider prescribing medication is a routine clinical action, not requiring reporting unless the prescription is unsafe or inappropriate. This choice does not inherently indicate a need for intervention, unlike impaired practice or boundary violations, making it 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

A nurse knows operant conditioning is part of the treatment plan to encourage speech in a child who is nearly mute. Which technique should the nurse apply?

Correct Answer is C

Explanation

In which situations would a nurse have the duty to intervene and report? (Select all that apply)

Correct Answer is B

Explanation

The plan of care for a patient is not completed within 24 hours of the patient’s admission due to the unit being short-staffed. Which action should the nurse prioritize?

A nurse is caring for patients receiving clozapine, lithium, fluoxetine, and venlafaxine. Which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance?

When using cognitive behavioral theory with an anxious, withdrawn patient, interventions should focus on which of the following?

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

A patient has acute anxiety related to a car accident. The nurse knows the patient will need teaching about which medication category?

A fearful patient has an increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?

Which individual is demonstrating the highest level of resilience?