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: Alienation from family corresponds to Maslow’s love and belonging needs, a third-level priority. While important for mental health, it is less urgent than physiological needs like nutrition and hygiene, which are foundational for survival and stability, making this choice lower priority in care planning.

Choice B reason: Refusing to eat or bathe addresses Maslow’s physiological needs, the highest priority in the hierarchy. Nutrition and hygiene are essential for survival and physical health, critical in mental illness to stabilize the patient’s condition and support further treatment, making this the correct choice.

Choice C reason: Reluctance to participate in group therapy relates to esteem or belonging needs, lower in Maslow’s hierarchy. While social engagement aids mental health, it is not as urgent as physiological needs, which underpin survival and basic functioning, making this choice a lower priority in care planning.

Choice D reason: Anxiety about social situations aligns with safety or belonging needs, secondary to physiological requirements. While anxiety impacts mental health, it is less critical than ensuring basic survival needs like food and hygiene, which take precedence in Maslow’s framework, making this choice incorrect.

A. I’d like to sit with you for a while to help you get comfortable talking to me B. I’ve also had traumatic life experiences; maybe it would help to share them C. Why do you think you had so much difficulty adjusting to this change in your life? D. Let’s discuss your treatment plan and how we can make it work for you

Correct Answer is A

Explanation

Choice A reason: Offering self involves making oneself available to the patient, fostering trust through presence and empathy. Sitting with the patient to facilitate comfort aligns with therapeutic communication, creating a safe space for dialogue, critical in psychiatric nursing, making this the correct choice.

Choice B reason: Sharing the nurse’s personal experiences shifts focus from the patient, risking boundary violations. This is non-therapeutic, as it does not prioritize the patient’s needs or foster their openness, failing to demonstrate the "offering self" technique, making this choice incorrect.

Choice C reason: Asking why the patient struggled with adjustment is a probing question that may feel confrontational. It does not convey availability or empathy, key to "offering self," but instead seeks explanation, potentially hindering trust, making this choice non-therapeutic and incorrect.

Choice D reason: Discussing the treatment plan focuses on clinical tasks, not emotional availability. While collaborative, it does not specifically demonstrate "offering self," which emphasizes presence and support to build trust, making this choice less aligned with the therapeutic technique described.

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Which comment indicates the patient perceived the nurse was caring?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A nurse is assessing a newly hospitalized patient. Select the best example of the communication technique of "offering self."

Correct Answer is A

Explanation

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.

Which therapeutic technique best communicates to a patient that the nurse is interested in listening?

Which tasks are safe and appropriate to be performed by a basic-level nurse for a patient suffering from mental illness?

A patient has acute anxiety related to a car accident. The nurse knows the patient will need teaching about which medication category?

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

A patient asks, "What are neurotransmitters? My doctor said mine are imbalanced." Select the nurse’s best response.

A nurse is caring for a group of clients in an acute mental health facility. Which of the following clients has the legal right to refuse treatment?

A 52-year-old woman says to the nurse, "I should have accomplished more in life, what was I thinking?" Which psychosocial crisis is she experiencing?