A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

"Your mother will be fine, you shouldn't work so much."

“So, it seems that you feel responsible for what happened to your mother”

"Why do you blame yourself? You could not have prevented the stroke”

“You are not responsible for your mothers’ stroke but many people in your situation feel this way”

Answer and Explanation

The Correct Answer is B

Choice A Reason:

This response is dismissive and invalidates the son's feelings of guilt. It does not acknowledge or address his emotional distress. Providing false reassurance and shifting focus to work is not therapeutic.

Choice B Reason:

This response reflects therapeutic communication. It validates the son’s feelings by acknowledging his guilt and encourages him to express his emotions. Reflective listening allows the nurse to build trust and support the son in processing his emotions.

Choice C Reason:

Asking "Why" can feel accusatory or judgmental, making the son defensive. While the statement attempts to provide reassurance, it fails to address his emotional state and may shut down further communication.

Choice D Reason:

Although this response provides some reassurance and normalization, it minimizes the son's emotions by focusing on generalizations. It lacks the reflective quality necessary for therapeutic communication in this situation.

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Correct Answer is D

Explanation

Choice A Reason:

In the orientation phase is false. The orientation phase is focused on establishing rapport, building trust, and identifying the patient's needs and goals. It is too early to discuss termination during this phase.

Choice B Reason:

On the working phase is false. The working phase involves active problem-solving, goal attainment, and skill development. While progress is being made, it is not the appropriate time to introduce the topic of termination.

Choice C Reason:

When the patient brings up the topic is false. While it's important to be responsive to the patient's concerns, addressing the issue of termination solely based on the patient's initiation may not provide a comprehensive and planned discussion. The nurse should guide the conversation about termination at the appropriate time, considering the progress made in therapy.

Choice D Reason:

The termination phase is the final phase of the therapeutic relationship, and it involves discussing and planning for the conclusion of the therapeutic alliance. It provides an opportunity for the nurse and patient to reflect on the progress made, revisit goals, and discuss strategies for maintaining gains after the conclusion of the formal therapeutic relationship.

A. Authoritarian B. Autocratic C. Laissez-faire D. Democratic

Correct Answer is C

Explanation

Choice A Reason:

Authoritarian is incorrect. Authoritarian leadership is characterized by a leader who makes decisions unilaterally and expects strict compliance from group members.

Choice B Reason:

Autocratic is incorrect. Autocratic leadership is similar to authoritarian leadership, where the leader has centralized control, makes decisions without input from others, and expects obedience.

Choice C Reason:

Laissez-faire is correct. The leadership style demonstrated in this scenario is Laissez-faire. In a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to have significant freedom in decision-making and behavior. The leader provides minimal guidance and only intervenes when asked or when absolutely necessary.

Choice D Reason:

Democratic is incorrect. Democratic leadership involves collaboration and shared decision-making among group members. The leader seeks input from the group and values the participation of all members in decision-making processes.

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A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a therapeutic nurse-patient relationship, when would the nurse plan to first address the issue of termination?

Correct Answer is D

Explanation

Which style of leadership is demonstrated when an advanced practice nurse running a group on the adolescent unit makes no attempt to control the topic or the member's behavior and makes no comment unless asked a direct question?

Correct Answer is C

Explanation

Using Maslow's pyramid, which patient comment would the nurse respond to first?

Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.)

Which intervention would the nurse suggest to a patient seeking advice regarding stress management? Select all that apply.

A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says. "I am really concerned about my husband. Which of the following is a therapeutic nursing response?