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 A
Explanation
Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide effective care and support to the family despite the chaotic environment.
Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selflessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.
Correct Answer is B
Explanation
The nurse has violated the mayor's right to privacy and confidentiality by disclosing his medical information to a third party without his consent. This action can lead to a charge of breach of confidentiality.
Additionally, the statement made by the nurse could be considered defamatory as it is likely to harm the mayor's reputation and could be interpreted as an accusation of a crime or moral wrongdoing. Therefore, the nurse could be charged with defamation of character. False imprisonment and batery are not relevant to the situation described.
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