A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

“I am trying to help you, but you haven't told me why you are overwhelmed yet."

"Have you tried to avoid the situations that are causing you so much stress?"

“Tell me about what you are doing to reduce or cope with your stress."

“I would like to help you. Can you tell me more about what you are feeling?"

Answer and Explanation

The Correct Answer is D

A. "I am trying to help you, but you haven't told me why you are overwhelmed yet." This response sounds dismissive and places responsibility on the client, which may increase their frustration.

B. "Have you tried to avoid the situations that are causing you so much stress?" Avoidance is not a healthy coping mechanism and does not encourage the client to express their feelings.

C. "Tell me about what you are doing to reduce or cope with your stress." While this encourages self-reflection, it does not validate the client’s distress or express empathy.

D. "I would like to help you. Can you tell me more about what you are feeling?" This response shows empathy, offers support, and invites the client to express their emotions, which are key aspects of therapeutic communication.

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Correct Answer is D

Explanation

A. Being trustworthy in following through with promises: This describes fidelity, which is the nurse’s duty to keep commitments and maintain trust.

B. Taking actions to promote access to mental health services: This relates to justice, which is about ensuring fairness and equal access to healthcare.

C. Providing ethically sound practice for clients and families: This falls under nonmaleficence and beneficence, ensuring ethical care and minimizing harm.

D. Being truthful and authentic with clients: Veracity means providing truthful and accurate information, ensuring clients receive honest and reliable details about their care.

A. Exploitation phase B. Termination phase C. Orientation phase D. Working phase

Correct Answer is D

Explanation

A. Exploitation phase : This is an outdated term; it refers to a subphase of the working phase, but not specifically to goal-setting after initial goals are met.

B. Termination phase: The termination phase is when the nurse-client relationship ends and final evaluations are made, not when new goals are set.

C. Orientation phase: The orientation phase is when the initial goals and trust are established, not when new goals are set.

D. Working phase: The working phase involves active intervention and goal achievement. When initial goals are met, new ones are set, making this the best answer.

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A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In nursing, veracity refers to the nurse's obligation to provide truthful and accurate information to the client. Which of the following best describes the principle of veracity?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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