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."

Answer and Explanation

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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Correct Answer is A

Explanation

A. Recognizing and incorporating an individual’s learning style can enhance the effectiveness of education by aligning with their preferred way of receiving and processing information.

B. Learning is a shared responsibility between the educator and the learner, with the educator facilitating and the learner actively engaging in the process.

C. The psychomotor domain involves physical skills and actions, not just thought processes. Cognitive processes are part of the cognitive domain.

D. Learning theories consider various aspects, including the learning environment, not just information retention.

A. "Nursing interventions for this diagnosis are very limited, regardless of age." B. "Usually, older clients have better treatment outcomes." C. "Assessing for thoughts of self-harm is important, regardless of age.” D. "Usually, only adults are on psychiatric medication for this disorder.”

Correct Answer is C

Explanation

A. Nursing interventions are crucial for both children and adults with dissociative identity disorder, and they involve tailored approaches depending on developmental needs.

B. Treatment outcomes can vary widely and are not necessarily better for older clients. Treatment success depends on various factors including individual circumstances and the presence of supportive therapies.

C. Assessing for thoughts of self-harm is critical in both children and adults with dissociative identity disorder, as self-harm is a potential risk in this population.

D. Both children and adults with dissociative identity disorder may be prescribed psychiatric medications, depending on their symptoms and treatment needs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is reviewing different learning concepts and approaches to incorporate into a health program that they are developing. Which of the following statements by the nurse is correct?

Correct Answer is A

Explanation

A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks, "How is nursing care different for children diagnosed with dissociative identity disorder compared to adults?" How should the nurse best respond?

Correct Answer is C

Explanation

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