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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Clozapine, an antipsychotic, primarily causes agranulocytosis and metabolic issues, not fluid or electrolyte imbalances. Its effects on the central nervous system and bone marrow do not directly disrupt electrolyte homeostasis, making this choice incorrect for this concern.
Choice B reason: Lithium, a mood stabilizer, affects renal function, impairing sodium and water reabsorption, leading to potential hyponatremia or dehydration. This requires close monitoring of electrolytes, as imbalances can cause toxicity, making this the correct choice for heightened alertness.
Choice C reason: Fluoxetine, an SSRI, primarily affects serotonin levels, with minimal impact on fluid or electrolyte balance. Side effects like nausea do not significantly disrupt electrolytes, making this choice incorrect compared to lithium’s known renal effects.
Choice D reason: Venlafaxine, an SNRI, influences serotonin and norepinephrine but does not significantly affect fluid or electrolyte balance. Its side effects, like hypertension, are unrelated to electrolyte homeostasis, making this choice incorrect for this specific concern.
Correct Answer is C
Explanation
Choice A reason: Trust versus mistrust occurs in infancy (0–1 year), focusing on trust in caregivers. Failure leads to suspicion, not regret over life accomplishments. This stage is irrelevant to a 52-year-old’s reflections on life achievements, making this choice incorrect for the described crisis.
Choice B reason: Generativity versus stagnation (middle adulthood, 40–65 years) involves contributing to society versus feeling unproductive. While related, the woman’s regret over past accomplishments aligns more with reflecting on life’s meaning, typical of a later stage, making this choice less precise.
Choice C reason: Integrity versus despair (late adulthood, 65+ years, but relevant in late middle age) involves reflecting on life’s achievements. Failure leads to despair and regret, matching the woman’s statement about unaccomplished goals, making this the correct choice for her psychosocial crisis.
Choice D reason: Industry versus inferiority (6–12 years) focuses on competence in tasks. Failure leads to feelings of inadequacy in skills, not regret over life’s broader accomplishments. This stage is irrelevant to the woman’s current reflections, making this choice incorrect.
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