A nurse is caring for a client who has borderline personality disorder (BPD). As part of the client's plan of care, the nurse reviews the day's schedule with the client each morning. As the nurse begins to review the schedule with the client, the client says, "Why don't you shut up already? I can read it myself, you know!" Which of the following responses should the nurse give the client?
"I don't like it when you address me with that tone of voice."
"I know you can, but are you going to read it or not?"
"Fine. Here is the schedule, and I will expect you to be on time to your therapies.
"We do this every day. Why are you so angry with me this morning?"
The Correct Answer is A
This response addresses the client's disrespectful tone and sets a boundary regarding acceptable communication. It promotes respect and professionalism in the nurse-client relationship while addressing the immediate behavior.
B. It maintains a neutral tone and encourages cooperation without escalating the conflict. However, it may come across as slightly confrontational and could potentially provoke further resistance from the client.
C. This response accommodates the client's request to have the schedule provided without further interaction. However, it may reinforce the client's dismissive and disrespectful behavior by complying with their demands without addressing the underlying communication issue.
D. It encourages the client to reflect on their feelings and provides an opportunity for open communication about any issues or concerns they may have. However, it may not be the most effective response in the moment as it could potentially escalate the conflict or lead to further defensiveness from the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Sitting across the room from the client creates physical distance and may convey a lack of engagement or interest in the client's concerns.
B. Minimizing facial expressions can make it challenging for the client to interpret the student's emotions or gauge their level of attentiveness and empathy.
C. Standing while the client is seated can create a power imbalance and may be perceived as intimidating or disrespectful, particularly in cultures where hierarchical structures are emphasized or where sitting is a sign of respect.
D. Using a moderate amount of eye contact is generally considered positive in communication, as it can convey attentiveness, interest, and sincerity.
Correct Answer is ["A","B","D"]
Explanation
A. This statement is non-judgmental. It focuses on assessing the patient's support system and potential resources for assistance after surgery without implying any judgment about the patient's circumstances.
B. This statement is non-judgmental. It aims to assess the patient's current stressors or life events that may impact her emotional well-being and coping abilities without implying any judgment.
C. This statement is judgmental. It conveys a directive and implies criticism or disapproval of the patient's smoking habit. It may also imply blame for the patient's health condition, which can be counterproductive and may cause the patient to feel defensive or discouraged.
D. This statement is non-judgmental. It encourages the patient to express her thoughts and emotions about the upcoming procedure without imposing any judgment or criticism.
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