A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?
"You don't have to be afraid to go. Our therapists are very understanding."
“I am not saying that you need therapy, but I am sure it will help you."
“I understand that you feel like you don't need it; however, the provider thinks it will help."
"You don't feel like group therapy is for you. Tell me more about what you know about group therapy."
The Correct Answer is D
A. "You don't have to be afraid to go. Our therapists are very understanding." This statement assumes the client is afraid and dismisses their perspective.
B. “I am not saying that you need therapy, but I am sure it will help you.” This minimizes the client’s concerns and implies that the nurse knows best.
C. “I understand that you feel like you don’t need it; however, the provider thinks it will help.”This statement dismisses the client’s feelings and shifts the focus to the provider’s opinion rather than the client’s needs.
D. "You don't feel like group therapy is for you. Tell me more about what you know about group therapy." This is an open-ended, client-centered response that encourages discussion and helps the nurse understand the client’s perspective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Assault is a tort that only occurs if a client is physically harmed. Assault is the threat of harm, not the actual harm. Physical harm would be battery.
B. False imprisonment does not apply to use of chemical restraints. False imprisonment includes the improper use of both physical and chemical restraints if used without medical justification or consent.
C. Negligence is the most common unintentional tort. Negligence occurs when a nurse fails to meet the standard of care, leading to client harm, making it the most common unintentional tort in healthcare.
D. Battery occurs when a person verbally threatens to harm another person. Battery involves actual physical contact without consent, while threats fall under assault.
Correct Answer is D
Explanation
A. Avoid including the client's religious affiliation when discussing treatment options. Religious beliefs can impact medical decisions, so omitting this information could overlook important care considerations.
B. Include each piece of collected demographic data during change-of-shift report. Not all demographic data are relevant to patient care, and oversharing may lead to unnecessary biases.
C. Record the client’s spirituality as normal in the plan of care. Spirituality is personal and subjective, so labeling it as “normal” is inappropriate and not bias-free.
D. Provide relevant demographics during a treatment team meeting. This ensures demographic information is included only when it impacts care, avoiding bias while maintaining patient-centered treatment.
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