A nurse is caring for 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 feel like group therapy is for you. Tell me more about what you know about group therapy".
"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 have to be afraid to go. Our therapists are very understanding."
The Correct Answer is A
A. This response validates the client's feelings and opens up a dialogue for the client to express their thoughts and concerns about group therapy, which is a key aspect of therapeutic communication.
B. This response may come across as dismissive of the client's feelings and does not encourage open communication.
C. While this response acknowledges the client's feelings, it does not encourage the client to share more about their concerns.
D. This response makes assumptions about the client's feelings and does not invite them to express their thoughts.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Allowing the client to control the conversation provides them with a sense of safety and autonomy, which is crucial after experiencing trauma. This approach respects their comfort level and readiness to disclose information.
B. While reporting the incident may be important, insisting on it can be re-traumatizing. The client should be supported in making their own decisions about reporting.
C. Touching the client without permission can be intrusive and may increase their distress. It’s important to respect personal boundaries.
D. Asking a series of questions about the assailant can be overwhelming and intrusive. The focus should be on supporting the client and allowing them to share information at their own pace.
Correct Answer is B
Explanation
A. It is incorrect and potentially harmful to inform the client that self-harm behavior cannot become a serious problem in the future. This minimizes the behavior and its risks.
B. Encouraging the client to identify the emotions they feel immediately before performing self-harm behavior can help them understand triggers and develop healthier coping mechanisms.
C. This statement is inaccurate as self-harm behaviors can increase the risk for accidental death and should be addressed with appropriate interventions.
D. Placing the client in one-on-one direct observation would be appropriate if there were overt suicidal intent, but non-suicidal self-harm does not necessarily indicate imminent suicide risk.
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