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 C

Explanation

A) Incorrect. Placing metal utensils on the client's meal tray may pose a safety risk, especially considering the recent suicide attempt.

B) Incorrect. Assigning the client to a private room may be beneficial for privacy, but the more immediate concern is ensuring the safety of the client by inspecting personal belongings.

C) Correct. Inspecting the client's personal belongings is crucial to remove any potentially harmful items that the client may use to harm themselves.

D) Incorrect. Tucking bedcovers over the client's hands and arms is not a specific intervention related to the recent suicide attempt.

A. Hallucinogen B. Hypnotic C. Opioid D. Sedative

Correct Answer is A

Explanation

A) Correct. Ecstasy, also known as MDMA (3,4methylenedioxymethamphetamine), belongs to the hallucinogen class of drugs. It produces altered perceptions and sensations.

B) Incorrect. Hypnotics are drugs that promote sleep.
C) Incorrect. Opioids are a class of drugs that include substances like heroin and prescription pain medications.

D) Incorrect. Sedatives are drugs that calm or soothe and can also induce sleep.

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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

A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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