Your patient, who is manic, says, "Everything I do is great." How should you respond?
"Yes, I am happy for you."
"No one can be great at everything."
"Keep it up."
"Tell me about a time in your life when things didn't go as planned."
The Correct Answer is D
Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.
Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.
Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.
Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Furosemide is a loop diuretic that can cause hypokalemia, so monitoring potassium levels is important.
Choice B reason: While calcium levels can be affected by furosemide, it is not typically the primary concern.
Choice C reason: Prothrombin time is not usually affected by furosemide and is not routinely monitored unless the patient is on anticoagulant therapy.
Choice D reason: Urine sodium could be checked, but it is the serum potassium that is most commonly monitored due to the risk of hypokalemia with furosemide use.
Correct Answer is A
Explanation
Choice A reason: Anger towards a deceased spouse can be a sign of unresolved grief and may indicate complicated grief or depression, requiring further intervention.
Choice B reason: Reestablishing relationships is a positive step in coping with loss and suggests progress in managing grief.
Choice C reason: Although it's difficult, the effort to engage with the community is a positive sign of coping and does not typically indicate a need for further intervention.
Choice D reason: A lack of desire to eat due to the absence of a loved one can be a normal part of grieving, but if persistent, it may require intervention to address potential depression.
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