Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

"Why don't you discuss that with your physician?"

"I would rather you reconsider that decision."

"What happened the last time you stopped taking your medication?"

"The physician prescribed that medication to help you."

Answer and Explanation

The Correct Answer is D

A.   This response may be seen as evading the client's statement. It's important to provide a more direct response.
B.   This response may come across as controlling or confrontational, which may not promote open communication.
C.   This response is a good therapeutic technique as it encourages the client to reflect on past experiences with stopping medication.
D.   This response provides a clear and factual statement about the purpose of the prescribed medication, encouraging the client to understand its importance.

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Correct Answer is D

Explanation

A. Attempting to deescalate the client is important, but ensuring immediate safety is the top priority.
B. Continuing to observe the client may lead to a further escalation of the situation. Safety measures should be taken first.
C. While offering medications may be necessary, ensuring safety is the immediate priority before any interventions are implemented.
D. Ensuring the safety of the client and others is the priority in situations of escalating agitation.

A. Anhedonia B. Aphasia C. Akathisia D. Agnosia

Correct Answer is D

Explanation

A. Anhedonia is a symptom commonly associated with depression, characterized by a decreased ability to experience pleasure or interest in activities.

B. Aphasia is a language disorder that affects the ability to communicate. It may involve difficulty in speaking, understanding language, reading, or writing. This is not demonstrated in the scenario.

C. Akathisia is a side effect of some antipsychotic medications characterized by a feeling of inner restlessness and the need to move constantly. It is not demonstrated in the scenario.

D. Agnosia is a symptom of dementia characterized by the inability to recognize familiar objects, people, or places, despite the senses being intact. In this scenario, the client's inability to recognize that their glasses are not a form of identification indicates agnosia.

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Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has become increasingly agitated. He is pacing in the hallway and shouting at other clients. What is the priority action of the nurse?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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