Registered Practical Nurse (RPN) Practice Test

What is the likely outcome of an overly enthusiastic approach by a nurse toward a patient with depression?

1. Irritate them and block communication

2. Encourage participation in activities

3. Enhance the therapeutic relationship

4. Facilitate medication compliance

The correct answer is: Irritate them and block communication

An overly enthusiastic approach by a nurse toward a patient with depression may indeed lead to irritation and hinder effective communication. Individuals experiencing depression often struggle with low energy and a decreased interest in activities. When faced with excessive enthusiasm, they might feel overwhelmed or misunderstood. This disconnect can cause the patient to feel pressured or invalidated, leading to a withdrawal from the interaction or a reluctance to share their feelings and concerns openly. Maintaining an appropriate level of empathy and rapport is crucial when working with patients facing mental health challenges. Effective communication in these situations requires a delicate balance, where the nurse's demeanor should be supportive without being excessively upbeat, so as to foster a safe environment for the patient to express themselves. The goal is to create a therapeutic space that encourages honesty and openness, rather than one that might push the patient away or make them feel uncomfortable.