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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. High energy: While high-energy nurses may take on demanding workloads, burnout is more related to chronic stress and lack of coping strategies.

B. Connects well with others: Building relationships does not directly lead to burnout. In fact, strong connections can act as a protective factor.

C. Compassion fatigue: Compassion fatigue is emotional exhaustion from prolonged exposure to client suffering, which can lead to burnout. Nurses who struggle with emotional detachment are particularly vulnerable.

D. Consistent self-care: Practicing self-care helps prevent burnout by promoting emotional resilience and work-life balance.

A. Begins to discuss how their partner and children are important to them B. Asks to change the topic during the interview process C. Requests more information about treatment options D. Discusses reasons for making a behavior change

Correct Answer is D

Explanation

A. Begins to discuss how their partner and children are important to them. While discussing relationships is valuable, it does not necessarily indicate readiness for behavior change.

B. Asks to change the topic during the interview process. Changing the topic may indicate discomfort or resistance rather than engagement.

C. Requests more information about treatment options. While curiosity about treatment is positive, it does not necessarily indicate commitment to change.

D. Discusses reasons for making a behavior change. When a client verbalizes reasons for change, it shows they are actively considering taking action, which is a key goal of motivational interviewing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

Correct Answer is C

Explanation

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is D

Explanation

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