A client states that she is returning to school next semester and has some concerns. Which of the following is the most therapeutic response by the nurse?
“I think that is a wonderful idea.”
“Your parents will be so proud.”
“Can you afford that?”
“Tell me more about your plan.”
The Correct Answer is D
This response encourages the client to share her thoughts and concerns about returning to school, which can help the nurse to understand the client's perspective and provide support and guidance as needed. It also shows that the nurse is actively listening and interested in what the client has to say, which can help to build trust and rapport in the therapeutic relationship.
Responses a and b are positive but not necessarily helpful in addressing the client's concerns.
Response c is potentially intrusive and could make the client feel uncomfortable or judged.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Sigmund Freud was an Austrian neurologist who developed psychoanalytic theory and therapy in the late 19th and early 20th centuries. He believed that unconscious thoughts, feelings, and experiences from childhood could influence behavior and mental health in adulthood. Psychoanalytic therapy is a type of talk therapy that aims to bring these unconscious thoughts and experiences to the surface, in order to help patients gain insight into their behavior and mental health.
Defence mechanisms are psychological strategies that individuals use unconsciously to protect themselves from anxiety and emotional pain. Freud identified several defense mechanisms, including repression, denial, projection, and displacement. Psychoanalytic therapy is designed to help patients identify and understand these defense mechanisms, in order to develop healthier coping strategies.
Dorothea Dix was a social reformer who advocated for the humane treatment of the mentally ill. Erick Erickson was a developmental psychologist who developed a theory of psychosocial development.
Hildegard Peplau was a nurse theorist who developed a theory of interpersonal relationships in nursing. None of these individuals were associated with the development of psychoanalytic therapy.
Correct Answer is A
Explanation
The technique described, where a client is placed in a situation that elicits high levels of anxiety or fear and is exposed to the feared stimuli in a safe and controlled environment, is known as flooding. In this case, the client with a fear of spiders is exposed to many spiders at once, which is an overwhelming and anxiety-provoking experience. However, the client is also aware that they are in a safe and controlled environment and can escape if necessary. Over time, this exposure should lead to a reduction in anxiety and fear.
Positive reinforcement involves rewarding desired behaviors to increase their likelihood of occurring in the future, while modeling involves learning by observing and imitating others' behaviors. Systematic desensitization involves gradually exposing a client to a feared stimulus while teaching relaxation techniques to reduce anxiety and fear.
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