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 A
Explanation
A. Beneficence is the duty to do good and act in the best interest of the client, which includes finding alternatives to restraints that promote dignity.
B. Justice refers to fairness in distributing resources and treatment, which does not directly apply in this scenario.
C. Autonomy involves respecting a client’s right to make decisions, but the decision in this case is made by the nurse.
D. Nonmaleficence is avoiding harm, which is closely related but not the best choice because beneficence goes beyond avoiding harm—it actively promotes the client's well-being.
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