Difficulty: Medium
Average Score: 89%
Simulated
A nurse is caring for a client who has a substance use disorder. The client states, 'The state took my child away after my overdose. I donÔÇÖt want to go on living without them.' Which of the following therapeutic responses should the nurse make?
Correct answer
C
Rationale
Rationale: Choice C is the correct answer because it demonstrates active listening and shows concern for the client's well-being. By asking if the client has thought about harming themselves, the nurse assesses suicide risk and can intervene appropriately. This response opens up a dialogue for further exploration of the client's emotional state and provides an opportunity for crisis intervention if needed.
Summary:
A: Incorrect. Making promises about regaining custody can give false hope and is not therapeutic.
B: Incorrect. Prescribing sedatives does not address the underlying emotional distress and may mask the client's feelings.
D: Incorrect. Involving family members in custody issues may not be appropriate and does not address the client's emotional needs.
E, F, G: Not applicable.
Summary:
A: Incorrect. Making promises about regaining custody can give false hope and is not therapeutic.
B: Incorrect. Prescribing sedatives does not address the underlying emotional distress and may mask the client's feelings.
D: Incorrect. Involving family members in custody issues may not be appropriate and does not address the client's emotional needs.
E, F, G: Not applicable.