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 D
Explanation
A. An interprofessional team: An interprofessional team consists of multiple healthcare professionals from different fields (e.g., nurses, psychiatrists, therapists, social workers), not just nurses.
B. A professional organization: A professional organization is a governing body (e.g., the American Nurses Association) that provides education and advocacy for nurses but does not describe a nursing team.
C. A shared governance: Shared governance is a leadership model that allows nurses to have a voice in decision-making, but it does not define a team structure.
D. An intraprofessional team: An intraprofessional team consists of nurses (LPNs and RNs) working together, which accurately describes the mental health nursing team in this scenario.
Correct Answer is D
Explanation
A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.
B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.
C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.
D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.
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