Which comment indicates the patient perceived the nurse was caring?

My nurse spends time listening to me talk about my problems. That helps me feel like I am not alone

My nurse told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner

My nurse explained my treatment plan to me and asked for my ideas about how to make the treatment better

My nurse always asks me which type of juice I want to help me swallow my medication

Answer and Explanation

The Correct Answer is A

Choice A reason: Listening to the patient’s problems conveys empathy and presence, key to perceived caring in psychiatric nursing. This fosters a therapeutic alliance, reducing feelings of isolation and enhancing trust, aligning with patient-centered care principles, making this the correct choice for perceived caring.

Choice B reason: Linking medication compliance to discharge may feel coercive, not caring. It focuses on outcomes rather than emotional support, failing to validate the patient’s feelings, which is critical for perceived caring in mental health settings, making this choice incorrect.

Choice C reason: Explaining the treatment plan and seeking input shows collaboration, which is therapeutic but less emotionally focused than listening. While patient-centered, it emphasizes planning over emotional connection, making it less indicative of perceived caring compared to attentive listening.

Choice D reason: Asking about juice preferences shows attention to detail but is task-oriented, not emotionally supportive. Caring is better demonstrated through emotional engagement, like listening, which addresses the patient’s psychological needs more directly, making this choice less relevant.

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Correct Answer is B

Explanation

Choice A reason: Suggesting the adolescent share with the psychiatrist avoids the nurse’s duty to report imminent threats. Ethical and legal standards require immediate action for safety, making this response inadequate, as it delays intervention in a potential crisis.

Choice B reason: Reporting a threat to harm others is a legal and ethical duty in psychiatric nursing, as it indicates imminent danger. Sharing with the team ensures safety interventions, aligning with mandatory reporting laws, making this the correct response.

Choice C reason: Discussing feelings is therapeutic but does not address the immediate safety risk of a threat. Prioritizing exploration over reporting violates ethical standards for managing dangerous behaviors, making this response incorrect in this context.

Choice D reason: Promising confidentiality in the face of a threat violates nursing ethics and legal mandates to report harm risks. This undermines patient and public safety, making it a non-therapeutic and incorrect response to a serious threat.

A. Discussing the patient’s history with other staff during care planning B. Documenting the patient’s daily behavior during hospitalization C. Releasing information to the patient’s employer without their consent D. Asking family to share information about a patient’s pre-hospitalization behavior

Correct Answer is C

Explanation

Choice A reason: Discussing patient history with staff during care planning is permissible under HIPAA for treatment purposes. It ensures coordinated care within the healthcare team, not violating privacy, as it is limited to professional need-to-know, making this choice incorrect.

Choice B reason: Documenting daily behavior is standard practice in medical records for treatment continuity and legal documentation. It is protected under confidentiality laws and does not breach privacy when restricted to authorized personnel, making this choice incorrect for a privacy violation.

Choice C reason: Releasing information to an employer without consent violates HIPAA, which mandates patient authorization for disclosures outside treatment, payment, or operations. This breaches confidentiality, compromising the patient’s right to privacy, making this the correct choice for a privacy violation.

Choice D reason: Asking family for pre-hospitalization information is appropriate if done with patient consent or legal justification, such as assessing history for treatment. Without evidence of unauthorized disclosure, this does not inherently breach privacy, making this choice incorrect.

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Which comment indicates the patient perceived the nurse was caring?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent hospitalized after a physical outburst tells the nurse, "I’m going to kill my father, but you can’t tell anyone." Select the nurse’s best response.

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

A nurse instructs a patient taking a monoamine oxidase inhibitor (MAOI) drug to avoid certain foods and drugs because of the risk of which condition?

A nurse uses Maslow's hierarchy of needs to plan care for a patient diagnosed with mental illness. Which problem will receive priority?

A patient begins therapy with clozapine medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect?

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

A nurse is caring for a patient with a mental health disorder. Which approach best supports therapeutic care?

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A nurse is conducting a mental health assessment for a patient reporting persistent feelings of hopelessness. Which intervention best aligns with evidence-based practice for addressing this symptom?

In which phase of group therapy should the nurse plan to first address termination?