A patient with acute depression states, "God is punishing me for my past sins." What is the nurse's most therapeutic response?
"If you feel this way, you should talk to your minister."
"You sound very upset about this."
"Why do you think you are being punished?"
"God always forgives us for our sins."
The Correct Answer is B
A. Referring the patient to a minister avoids the nurse’s responsibility to provide immediate therapeutic support.
B. This response reflects the patient’s feelings and encourages further expression, which is therapeutic in depression.
C. Asking “why” can feel judgmental and place the patient on the defensive, which is non-therapeutic.
D. Giving false reassurance or imposing religious beliefs does not address the patient’s feelings and may shut down communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lorazepam is a benzodiazepine that acts quickly to relieve acute anxiety, making it the medication of choice for sudden episodes of severe anxiety.
B. Amitriptyline is a tricyclic antidepressant used for long-term management of depression and anxiety, not for rapid relief of acute anxiety.
C. Buspirone is an anxiolytic effective for chronic anxiety but has a delayed onset of action and is not effective for sudden episodes.
D. Desipramine is a tricyclic antidepressant primarily used for depression and certain chronic anxiety disorders, not for immediate relief of severe anxiety.
Correct Answer is A
Explanation
A. Clozapine can cause agranulocytosis, a life-threatening drop in white blood cells, leaving the client highly vulnerable to infection. Flu-like symptoms (fever, sore throat, malaise) may be early warning signs and require immediate provider notification and WBC count monitoring.
B. Olanzapine commonly causes orthostatic hypotension. Dizziness when standing is expected early in treatment and can often be managed with slow position changes, not an emergency.
C. Thioridazine, like many antipsychotics, can cause sedation. Daytime drowsiness is a common side effect and not urgent.
D. Chlorpromazine may cause GI upset such as nausea and vomiting. While bothersome, it is not immediately life-threatening unless severe or persistent.
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