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 A

Explanation

A. Autonomy refers to a client’s right to make their own decisions regarding care. Allowing them to choose between morning and afternoon therapy respects their independence and decision-making ability.

B. Justice refers to fairness and equal treatment in healthcare. While offering a choice is ethical, it is not related to ensuring fair resource distribution.

C. Beneficence means acting in the best interest of the client to promote well-being. While giving choices can be beneficial, this scenario specifically highlights autonomy.

D. Nonmaleficence means "do no harm." While respecting choices can prevent distress, this principle is more related to avoiding harm rather than promoting independence.

A. Resolution B. Exploitation C. Orientation D. Identification

Correct Answer is C

Explanation

A. Resolution: The resolution phase occurs at the end of care, focusing on termination and closure, not trust-building.

B. Exploitation: This is not a formal phase of the nurse-client relationship in Peplau’s model; the term is outdated and not appropriate.

C. Orientation: The orientation phase is when the nurse establishes trust and rapport with the client.

D. Identification: The identification phase is when the client begins to recognize the nurse’s role in their care, but trust has already been established.

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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

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is A

Explanation

Which phase of the nurse-client relationship involves establishing trust and rapport with the client?

Correct Answer is C

Explanation

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

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