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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Traumatic brain injury can cause cognitive impairments but is not typically associated with these specific symptoms.
B. Frontotemporal lobar degeneration primarily affects the frontal and temporal lobes of the brain, which are responsible for personality, behavior, language, and motor functions. Symptoms often include changes in behavior, personality, language difficulties, and problems with daily living. Lack of sleep, appetite, and concentration issues are common in the early stages of FTLD.
C. While HIV can lead to neurological complications, the symptoms described are not characteristic of HIV-related dementia.
D. Prion diseases usually present with rapidly progressive dementia and motor symptoms but are less associated with lack of sleep and appetite.
Correct Answer is D
Explanation
A. Schizophrenia is not a risk factor for dissociative identity disorder.
B. While self-injurious behavior can occur in various psychiatric conditions, it is not specifically a risk factor for dissociative identity disorder.
C. Borderline personality disorder is associated with dissociative symptoms but not specifically dissociative identity disorder.
D. A history of trauma during developmental years is a significant risk factor for dissociative identity disorder, often related to severe abuse or neglect.
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