A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

"Your behavior will be disappointing to your provider."

"I'm taking away your privileges for the rest of the week."

"yelling at others is unacceptable."

"Why did you hit another client?"

Answer and Explanation

The Correct Answer is C

A. "Your behavior will be disappointing to your provider." This statement is not helpful because it focuses on the feelings of the provider rather than addressing the behavior itself or its consequences for the client.
B. "I'm taking away your privileges for the rest of the week." This is a punitive response and does not address the immediate issue of the client's behavior. It is more important to address the behavior and its impact rather than imposing a punishment.
C. "Yelling at others is unacceptable." This statement directly addresses the behavior and sets a clear boundary. It is an appropriate way to communicate that the behavior is not acceptable.
D. "Why did you hit another client?" This question assumes the client hit another client, which might not be accurate and can escalate the situation. It’s better to address the observed behavior directly.

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Correct Answer is D

Explanation

A. Role reversal: Role reversal occurs when individuals switch roles with each other, which is not applicable in this context.
B. Unconditional regard: Unconditional positive regard refers to showing complete acceptance of the client regardless of their actions or behaviors. This term does not describe the phenomenon of the nurse's feelings based on past experiences.
C. Transference: Transference is when a client projects feelings about someone from their past onto the therapist or nurse. This term does not describe the nurse's feelings based on past experiences.
D. Countertransference: Countertransference occurs when a nurse develops feelings toward a client based on the nurse's own past experiences or emotions. This is the correct term for the situation described.

A. Restricted affect B. Broad affect C. Blunt affect D. Flat affect

Correct Answer is D

Explanation

A. Restricted affect: Restricted affect indicates a limited range of emotions but not a complete lack of expression.
B. Broad affect: Broad affect indicates a wide range of emotional expressions, which is not the case here.
C. Blunt affect: Blunt affect indicates a severe reduction in the intensity of emotional expression, but some expression is still present.
D. Flat affect: Correct. Flat affect indicates a complete lack of emotional expression, which matches the client's behavior.

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A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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