Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

The nurse

The client

Establishing a friendship

The plan of care

Answer and Explanation

The Correct Answer is B

Choice A rationale: the nurse is not the primary focus of a therapeutic relationship and does not focus on their personal or professional needs. However, they should always maintain appropriate boundaries and avoid becoming too emotionally involved or attached to the client.
Choice B rationale: the client is the primary focus of a therapeutic relationship hence the care provided should meet the client’s needs, well-being, and expectations.
Choice C rationale: a therapeutic relationship is not focused on establishing a friendship but on developing a working alliance between the nurse and the client.
Choice D rationale: The plan of care is an important tool for guiding the therapeutic relationship, but it is not the focus of the relationship.

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Correct Answer is A

Explanation

Choice A rationale: TCAs do not have an immediate mechanism of action and may take approximately 2-4 weeks to have an effect on the neurotransmitters involved in mood regulation hence the brain may take some time to adjust to these changes.
Choice B rationale: 1-2 weeks is too short, and may lead clients to feel discouraged or frustrated if they do not see any results by then hence informing them of the duration it will take before they can realize a change in their mood or anxiety is crucial.
Choice C rationale: 3-4 days is too short, and may lead clients to feel discouraged or frustrated if they do not see any results.
Choice D rationale: 1-2 days is too short and unrealistic gives the client false expectations and may make them think that the drugs are ineffective in their mood and anxiety control.

A. Fats B. Protein C. Sodium D. Potassium

Correct Answer is C

Explanation

Choice A rationale: fats are directly related to lithium therapy and does not require any special monitoring during the drug’s intake.
Choice B rationale: proteins do not affect the blood levels of lithium hence they do not require any special monitoring during the drug’s intake.
Choice C rationale: Lithium is a salt that can affect the fluid and electrolyte balance in the body and competes with sodium for their reabsorption in the kidneys.
Therefore, if the client consumes too much or too little sodium, it can alter the level of lithium in the blood and cause toxicity or ineffectiveness hence the need for close monitoring.
Choice D rationale: potassium does not affect the blood levels of lithium hence no special monitoring during intake is required.

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Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to:

Correct Answer is A

Explanation

In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

Correct Answer is C

Explanation

A female client tells the care provider that she feels very angry about her recent divorce. Which is the care provider's best response?

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Which medication side effect is irreversible if not caught early:

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