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

Asking a direct question, such as "Did you feel angry?"

Asking the patient, "Why did you do that?"

Maintaining eye contact and nodding

Offering advice based on personal experience

Answer and Explanation

The Correct Answer is C

Choice A reason: Direct questions like "Did you feel angry?" may elicit specific information but can feel confrontational, limiting open dialogue. They focus on the nurse’s agenda rather than signaling attentive listening, which is critical for therapeutic communication in mental health, making this choice less effective.

Choice B reason: Asking "Why did you do that?" can seem judgmental, causing defensiveness and hindering open communication. It shifts focus to justification rather than fostering a safe space for the patient to share feelings, making it non-therapeutic and incorrect for showing listening interest.

Choice C reason: Maintaining eye contact and nodding are nonverbal cues that demonstrate active listening and empathy, encouraging patients to share openly. These align with therapeutic communication principles in psychiatric nursing, creating a supportive environment and fostering trust, making this the correct choice for showing interest.

Choice D reason: Offering advice based on personal experience shifts focus to the nurse, undermining the patient’s perspective. It risks blurring professional boundaries and is non-therapeutic, as it does not prioritize the patient’s feelings or encourage open dialogue, making this choice incorrect.

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Correct Answer is ["B","C"]

Explanation

Choice A reason: Bupropion is not primarily a sedative; it is an atypical antidepressant that stimulates norepinephrine and dopamine. It may cause insomnia, not promote sleep, making this statement incorrect. Sedative medications like zolpidem are used for sleep, not bupropion, which has activating properties.

Choice B reason: Bupropion has a lower risk of sexual dysfunction compared to SSRIs, making it a suitable alternative for depression treatment in patients experiencing this side effect. Its mechanism avoids serotonin-related sexual issues, supporting its use in such cases, making this a correct choice.

Choice C reason: Bupropion is FDA-approved for major depressive disorder, acting on norepinephrine and dopamine to alleviate depressive symptoms. It is commonly prescribed for depression, making this statement true and a correct choice, as it aligns with its primary clinical use.

Choice D reason: Bupropion, under the brand Zyban, is approved for smoking cessation, as it reduces nicotine cravings and withdrawal symptoms by modulating dopamine pathways. This evidence-based use makes the statement true, correctly identifying bupropion’s role in smoking cessation programs.

A. A signed consent by the patient B. A verbal consent from the patient and the patient’s guardian or next of kin C. Approval from the attending psychiatrist D. Permission from members of the health care team

Correct Answer is A

Explanation

Choice A reason: HIPAA requires signed patient consent for releasing medical information to third parties, ensuring patient autonomy and confidentiality. This legal standard applies to mental health records, protecting sensitive data, making this the correct choice for information release.

Choice B reason: Verbal consent, even with a guardian, is insufficient under HIPAA, which mandates written authorization for protected health information. This ensures clear documentation, making this choice incorrect, as written consent is the legal standard.

Choice C reason: Psychiatrist approval does not replace patient consent for releasing information. HIPAA prioritizes patient authorization, and provider approval alone violates privacy regulations, making this choice incorrect for legal information release protocols.

Choice D reason: Health care team permission is irrelevant to releasing information, as only the patient’s signed consent is legally required. Team collaboration does not override HIPAA’s patient-centered consent rules, making this choice incorrect.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statements are true about bupropion? (Select all that apply)

Correct Answer is ["B","C"]

Explanation

What must the nurse obtain from the patient in order for medical information to be released to another health care facility or third party regarding a patient diagnosed with a mental illness?

Correct Answer is A

Explanation

Which scenario best depicts a behavioral crisis?

The plan of care for a patient is not completed within 24 hours of the patient’s admission due to the unit being short-staffed. Which action should the nurse prioritize?

When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in that supports the theory of interpersonal relations?

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

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?

Which individual is demonstrating the highest level of resilience?

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

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?