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 B
Explanation
Choice A rationale
Transference refers to a situation where the feelings, desires, and expectations of a person are unconsciously redirected and applied to another person. In this case, the nurse is not redirecting their feelings towards the patient, but rather reacting to the patient’s actions.
Choice B rationale
Countertransference refers to the emotional reaction of the healthcare provider towards the patient. In this case, the nurse’s hostility and anger towards the patient who has sexually abused a child is an example of countertransference.
Choice C rationale
Resistance refers to an attempt to prevent undesirable thoughts from becoming conscious. In this case, the nurse is not trying to prevent undesirable thoughts, but rather reacting to the patient’s actions.
Choice D rationale
Noncompliance refers to a patient’s failure to follow medical advice. In this case, the nurse is not failing to follow medical advice, but rather reacting to the patient’s actions.
Correct Answer is B
Explanation
Choice A rationale
Parents who were very lenient disciplinarians may not necessarily lead to conduct disorder in their children. While lack of discipline can contribute to some behavioral issues, it is not specifically associated with conduct disorder.
Choice B rationale
Harsh parental discipline and physical punishment can contribute to the development of conduct disorder. Children who experience harsh discipline may learn to use aggressive behavior as a way of dealing with conflict and may have difficulty developing pro-social behavior. This can lead to a pattern of violating the rights of others and societal norms, which is characteristic of conduct disorder.
Choice C rationale
Schizophrenia is a chronic mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. While some individuals with conduct disorder may also have schizophrenia, the presence of schizophrenia does not necessarily indicate that an individual will develop conduct disorder.
Choice D rationale
Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. It is not typically associated with the aggressive and rule-breaking behavior seen in conduct disorder.
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.