The nurse is caring for a patient who has suicidal ideations. The patient tells the nurse, "My boyfriend told the cops that I was planning to kill myself. That's why I'm in the hospital." What is the nurse's best response?
1. "Do you feel you need to be in the hospital?"
2. "Your boyfriend must love you very much, right?"
3. "Your boyfriend thought you were planning to kill yourself?"
4. "Do you think your boyfriend meant well by telling the police you were planning to kill yourself?"
Answer: 3
Explanation: In order to elicit a thorough response from the patient and to receive clarification, the nurse should mirror the patient's statement. Asking if the patient feels the need to be in the hospital is not therapeutic and does elicit a thorough response because it is a closed-ended question. Asking the patient if the boyfriend meant well or if the boyfriend loves the patient is not essential to the patient's treatment and current state of mind.
You might also like to view...
A nurse wishes to improve critical thinking skills. Which of the following actions would be helpful for this nurse? (Select all that apply.)
A. Developing checklists for care activities B. Listening intently for true understanding C. Practicing new skills D. Remaining nonobjective in patient encounters E. Searching the literature for new information
Upon entering the client's room at the beginning of a shift and throughout the shift, the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments
What type of assessment is the nurse performing? A) Ongoing partial assessment B) Comprehensive assessment C) Focused assessment D) Emergency assessment
The client has received contrast medium. Which teaching will the nurse provide to avoid any neurologic health problems after the procedure?
A. "Practice memory drills this afternoon." B. "Drink at least 1000 to 1500 mL of water today." C. "Avoid sunlight." D. "Rest in bed for 24 hours."
During a treatment team meeting, the point is made that a client with schizophrenia has recovered from the acute psychosis but continues to demonstrate apathy, avolition, and blunted affect
The nurse who relates these symptoms to serotonin (5HT2) excess will suggest that the client re-ceive: 1. Haloperidol (Haldol) 2. Chlorpromazine (Thorazine) 3. Olanzapine (Zyprexa) 4. Phenelzine (Nardil)