A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned the patient received a notice of eviction immediately prior to admission. Select the nurse’s most appropriate action.

Arrange for social services to address the patient’s housing needs

Contact the landlord to discuss the eviction situation further

Determine whether the adverse medication reaction was genuine

Delay discharge until the patient’s mental status improves

Answer and Explanation

The Correct Answer is A

Choice A reason: Arranging social services addresses the patient’s eviction, a social determinant of health impacting mental stability. This holistic approach supports recovery by ensuring housing stability, aligning with psychiatric nursing’s focus on comprehensive care, making this the correct choice.

Choice B reason: Contacting the landlord directly exceeds the nurse’s role and may violate privacy. It does not address the patient’s immediate housing needs or mental health, making it less appropriate than coordinating with social services for professional support.

Choice C reason: Questioning the medication reaction’s validity is inappropriate without evidence and distracts from addressing the eviction. It undermines trust and does not support discharge planning, making this choice irrelevant to the patient’s current needs.

Choice D reason: Delaying discharge without clinical justification risks unnecessary hospitalization. The eviction requires social support, not prolonged admission, as mental status improvement is not specified as a concern, making this choice incorrect.

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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. There are people with problems much worse than yours B. What do you think you could do to feel better? C. I understand how you’re feeling; let’s talk more about it D. Why don’t you just try to forget about it?

Correct Answer is B

Explanation

Choice A reason: Comparing the patient’s problems to others minimizes their experience, a non-therapeutic technique. It dismisses feelings, hindering trust and open communication, contrary to psychiatric nursing principles that emphasize validation, making this choice incorrect.

Choice B reason: Asking the patient to suggest solutions encourages self-reflection and empowerment, a therapeutic technique. It fosters autonomy and problem-solving, aligning with patient-centered care in mental health nursing, making this a correct choice for therapeutic communication.

Choice C reason: Expressing understanding and inviting further discussion validates the patient’s feelings, fostering trust. This empathetic, open-ended approach is a hallmark of therapeutic communication in psychiatric care, promoting a safe space for exploration, making this a correct choice.

Choice D reason: Suggesting the patient forget their problems is dismissive and non-therapeutic. It invalidates feelings and discourages exploration, contrary to psychiatric nursing goals of fostering insight and trust, making this choice incorrect for therapeutic communication.

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A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned the patient received a notice of eviction immediately prior to admission. Select the nurse’s most appropriate action.

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

Which comments by a nurse demonstrate the use of therapeutic communication techniques? (Select all that apply)

Correct Answer is B

Explanation

A nurse is preparing morning medications for all patients, and one patient says, "I am not taking any of those pills!" The nurse gets frustrated and forcefully holds the patient to administer the medication over the patient’s objection. Which term best describes this action?

Which comment indicates the patient perceived the nurse was caring?

When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in that supports the theory of interpersonal relations?

Which action by a nurse indicates a breach of a patient’s right to privacy?

The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?

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?

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

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?