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NCLEX-RN · Question #161

A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the hospital by his wife because he had taken too many pills and states, "I just couldn't take it anymore." The…

The correct answer is B. "Tell me more about what you couldn't take anymore.". (A) Disapproving gives the impression that the nurse has a right to pass judgment on the client's thoughts, actions, or ideas. (B) Giving a broad opening gives the client encouragement to continue with verbalization. (C) Failing to acknowledge the client's feelings conveys a…

Psychosocial Integrity

Question

A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the hospital by his wife because he had taken too many pills and states, "I just couldn't take it anymore." The nurse's best response to this disclosure would be:

Options

  • A"You shouldn't do things like that, just tell someone you feel bad."
  • B"Tell me more about what you couldn't take anymore."
  • C"I'm sure you probably didn't mean to kill yourself."
  • D"How long have you been in the hospital."

How the community answered

(44 responses)
  • A
    5% (2)
  • B
    73% (32)
  • C
    7% (3)
  • D
    16% (7)

Explanation

(A) Disapproving gives the impression that the nurse has a right to pass judgment on the client's thoughts, actions, or ideas. (B) Giving a broad opening gives the client encouragement to continue with verbalization. (C) Failing to acknowledge the client's feelings conveys a lack of understanding and empathy. (D) Changing the subject takes the conversation away from the client and is indicative of the nurse's anxiety or insensitivity.

Topics

#therapeutic communication#suicide risk#open-ended questioning#psychiatric assessment

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