A client in an outpatient clinic states,"I am so tired of these medications." Which nursing response would encourage the client to elaborate further?

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Question 1 of 9

A client in an outpatient clinic states,"I am so tired of these medications." Which nursing response would encourage the client to elaborate further?

Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and shows empathy by directly acknowledging the client's statement. By repeating the client's words, it encourages further elaboration. Option A is incorrect as it simply acknowledges medication use without exploring the client's feelings. Option C shifts the focus away from the client's statement. Option D introduces family dynamics, which may not be relevant or may potentially pressure the client.

Question 2 of 9

The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following?

Correct Answer: C

Rationale: The correct answer is C: Environmental stimuli. Self-monitoring in behavioral therapy for bulimia nervosa involves tracking external triggers like locations, people, or activities that may lead to binge eating. This helps the client identify patterns and develop strategies to cope with or avoid these triggers. Choice A (Feelings of hunger) focuses on internal cues, which are not the primary target of self-monitoring in bulimia nervosa. Choice B (Efforts at distraction) is not typically recorded in a self-monitoring diary but may be addressed through other therapeutic techniques. Choice D (Rigid rules about eating) is more related to cognitive restructuring rather than self-monitoring of environmental stimuli.

Question 3 of 9

The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C: Achieving independent functioning of the child as an adult. This is the most appropriate long-term goal as it focuses on empowering the child to lead a fulfilling and independent life despite their condition. It emphasizes working towards maximizing the child's potential and enhancing their quality of life. A: Locating suitable residential placement for the child is not the most appropriate long-term goal as it does not focus on the child's independence and potential growth. B: Finding a foster home for the child is not suitable as it does not address the child's long-term development and independence. D: Preventing the onset of psychiatric disorders in the child is important but may not be the most relevant long-term goal as it does not directly address the child's mental retardation or focus on their independent functioning as an adult.

Question 4 of 9

A client in an outpatient clinic states,"I am so tired of these medications." Which nursing response would encourage the client to elaborate further?

Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and shows empathy by directly acknowledging the client's statement. By repeating the client's words, it encourages further elaboration. Option A is incorrect as it simply acknowledges medication use without exploring the client's feelings. Option C shifts the focus away from the client's statement. Option D introduces family dynamics, which may not be relevant or may potentially pressure the client.

Question 5 of 9

A group of nursing students is reviewing information about the course of aging in future older adults and qualities that contribute to successful aging. The students demonstrate understanding of this information when they identify which of the following as least important?

Correct Answer: D

Rationale: The correct answer is D: Physical health. Successful aging is not solely dependent on physical health, as individuals can still age successfully despite some physical health challenges. Capacity to adapt to change, engagement in life, and stability with reliable social support are key qualities that contribute significantly to successful aging. Adapting to changes helps individuals cope with life transitions, staying engaged in life promotes mental well-being, and having stable social support enhances overall quality of life. Therefore, physical health, while important, is considered least important compared to the other qualities in contributing to successful aging.

Question 6 of 9

The nurse is leading a small group of hospitalized patients diagnosed with psychiatric disorders. One group member has asked for advice and often agrees with suggestions by other group members but then adds, 'Yes, but . . .' to every suggestion offered. Which response by the nurse would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because it encourages the group member to take ownership of their situation. By asking them what solution they think would work best, the nurse empowers the individual to think critically and problem-solve for themselves. This approach promotes self-reflection and self-efficacy, which are important in the therapeutic process. Choice A is incorrect as it suggests avoiding the issue rather than addressing it directly. Choice B, while acknowledging the behavior, does not prompt the individual to actively engage in finding a solution. Choice C focuses on analyzing the behavior rather than facilitating problem-solving. Overall, choice D is the best option as it encourages autonomy and empowers the individual to take charge of their own progress.

Question 7 of 9

An incest survivor undergoing treatment at the mental health clinic is relieved when she learns that her anxiety and depression are:

Correct Answer: D

Rationale: The correct answer is D because anxiety and depression in an incest survivor are considered normal reactions to posttraumatic events. Survivors often experience these symptoms as a result of the trauma they have endured. It is important for the survivor to understand that these reactions are common and part of the healing process. Choice A is incorrect because complete eradication of these symptoms may not be realistic. Choice B is incorrect as it downplays the seriousness of the survivor's experience. Choice C is incorrect because labeling the symptoms as abnormal may further stigmatize the survivor.

Question 8 of 9

A group of students are reviewing the process of verbal communication. The students demonstrate understanding of the information when they identify which of the following as the first component of the process?

Correct Answer: A

Rationale: The correct answer is A: Formulation of an idea. This is the first component of the process of verbal communication because it involves generating thoughts and ideas that need to be communicated. Before encoding a message (B), transmitting it (C), or receiving a message (D), one must first formulate the idea that they want to express. Encoding and transmission come after formulating the idea. Message reception is the final step in the process, where the receiver interprets and understands the message. Therefore, understanding the process of verbal communication starts with formulating an idea.

Question 9 of 9

A patient who has attempted suicide has an underlying diagnosis of depression. Which of the following would the nurse anticipate being ordered for the patient?

Correct Answer: A

Rationale: The correct answer is A: Selective serotonin reuptake inhibitor (SSRI). SSRIs are commonly prescribed for depression due to their effectiveness in improving mood and reducing suicidal ideation. They are considered first-line treatment for depression. Mood stabilizers (B) are typically used for bipolar disorder, not major depressive disorder. Tricyclic antidepressants (C) have more side effects and are not as commonly prescribed as SSRIs. Atypical antipsychotics (D) are often used as adjunctive therapy for depression with psychotic features, but SSRIs are the primary treatment choice for depression without psychotic symptoms.

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