A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?
Share personal information to help the client feel comfortable.
Set boundaries with the client regarding personal space.
Tell the client if she reminds the nurse of a personal friend or relative.
Develop an emotional commitment to the client.
The Correct Answer is B
A. Sharing personal information can blur the professional boundaries and hinder the therapeutic relationship. The nurse's focus should be on the client's needs and well-being.
B. Maintaining professional boundaries is essential in therapeutic relationships. It helps to establish trust and ensures the nurse can provide effective care without becoming emotionally involved.
C. Comparing the client to someone else can be misleading and inappropriate. It's important to focus on the client as an individual and avoid making comparisons.
D. While empathy and compassion are crucial in nursing, developing an emotional commitment can compromise objectivity and hinder the nurse's ability to provide effective care.
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Correct Answer is D
Explanation
A. Clarification is a crucial listening skill that involves asking questions or seeking additional information to ensure understanding. Avoiding clarification to prevent interruption can lead to misunderstandings and incomplete communication.
B. While it is important to be attentive and present during communication, taking notes can be necessary to document important information. The key is to balance note-taking with active listening. If done discreetly, note-taking should not significantly detract from the ability to engage in effective listening.
C. Finishing the client’s sentences can be perceived as interruptive and may come across as disrespectful or dismissive. It is important for the client to express their thoughts and feelings fully before the nurse responds.
D. Changing the environment to minimize distractions is a valuable listening skill. A quiet and comfortable setting can enhance effective communication by allowing the client to focus and express themselves without external interruptions. This helps ensure that the nurse can fully concentrate on the client’s message and respond appropriately.
Correct Answer is C
Explanation
A. This response is dismissive and doesn't address the client's feelings. It also implies that the client's absence will negatively impact the group, which is not helpful.
B. While this shows empathy, it doesn't address the client's reason for not wanting to attend the group.
C. This response acknowledges the client's feelings without being judgmental and opens a space for further communication.
D. This question might put the client on the defensive and can be perceived as challenging. It's important to create a safe and supportive environment for the client to express their feelings.
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