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?
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason: GABA, an inhibitory neurotransmitter, reduces neuronal activity, not enhances cognitive functions like memory. Memory improvement is associated with cholinergic or glutamatergic systems, not GABA, making this choice incorrect for the expected effect of GABA potentiation.
Choice B reason: Fewer visual hallucinations are associated with antipsychotics affecting dopamine, not GABA. GABA’s inhibitory effects calm the brain but do not directly target psychotic symptoms like hallucinations, making this choice incorrect for the medication’s effect.
Choice C reason: GABA potentiation, as with benzodiazepines, enhances inhibitory effects, reducing neuronal excitability and calming the central nervous system. This directly alleviates anxiety, a primary therapeutic effect, aligning with GABA’s role in anxiety disorders, making this the correct choice.
Choice D reason: Increased alertness is contrary to GABA’s inhibitory effects, which promote sedation. Stimulants, not GABAergic drugs, enhance alertness, making this choice incorrect, as GABA potentiation leads to calming, not stimulating, effects on the brain.
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