A nurse is caring for a client with whom she has developed a therapeutic relationship.
The client, who will be discharged later in the day, thanks the nurse for her help during the hospitalization.
Which of the following responses should the nurse make?
“How do you feel about being discharged?”
“I will send you a note in a few weeks.”.
“I know you will do well living out in the community.”.
“Aren’t you excited about being discharged today?” . .
The Correct Answer is A
Choice A rationale
The nurse’s response of asking the client, “How do you feel about being discharged?” is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client’s readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client’s feelings, which are key components of a therapeutic relationship.
Choice B rationale
Telling the client, “I will send you a note in a few weeks,” is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client’s needs and not the personal feelings or needs of the nurse.
Choice C rationale
Saying, “I know you will do well living out in the community,” is an assumption and does not invite the client to share their feelings or concerns. It’s important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client’s individual needs.
Choice D rationale
Asking the client, “Aren’t you excited about being discharged today?” is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It’s important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Being defensive is a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s question doesn’t suggest that they are being defensive.
Choice B rationale
Using stereotyped responses can be a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s question doesn’t suggest that they are using stereotyped responses.
Choice C rationale
Challenging is the most appropriate answer. The nurse’s question could be seen as challenging the client’s statement about their plan to kill themselves.
Choice D rationale
Failure to explore the client’s point of view is a nontherapeutic communication technique, but it’s not the most fitting description for the scenario. The nurse’s question doesn’t necessarily indicate a failure to explore the client’s point of view. Explore
Correct Answer is D
Explanation
Choice A rationale
Maintaining friendships is an important aspect of mental health, but failure to do so does not necessarily indicate a need for immediate mental health assistance. People may have difficulty maintaining friendships for a variety of reasons, including personal choice, lifestyle changes, or conflicts.
Choice B rationale
While failure to complete school can be a sign of underlying issues such as learning disabilities, mental health problems, or socio-economic factors, it does not necessarily indicate a need for immediate mental health assistance. It’s important to consider the individual’s circumstances and other potential factors.
Choice C rationale
Failure to achieve developmental tasks of age could be a sign of a developmental disorder or delay. However, it does not necessarily indicate a need for immediate mental health assistance. It’s important to consider the individual’s overall development and other potential factors.
Choice D rationale
Failure to comply with societal rules can be a sign of antisocial behavior or conduct disorders, which may require immediate mental health assistance. This can include behaviors that harm others, violate the rights of others, or majorly violate societal norms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.