A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?
Asks about more information related to community support groups
Writes a list of people who are important in their life
Reports that having family support is the reason for their confidence in changing
Requests to end the interview early
The Correct Answer is C
A. Asks about more information related to community support groups. While seeking information is helpful, it does not necessarily indicate internal motivation for change.
B. Writes a list of people who are important in their life. This is a positive step but does not necessarily demonstrate motivation for behavior change.
C. Reports that having family support is the reason for their confidence in changing. Expressing confidence in change due to family support shows personal motivation and a commitment to recovery.
D. Requests to end the interview early. Ending the interview early may indicate resistance or disengagement rather than motivation for change.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An adult client is confined with physical restraints after throwing chairs at other clients and staff. Physical restraints are highly restrictive and should be used as a last resort when safety is at risk.
B. An adolescent is taken to a secure, quiet room after threatening and lashing out at other clients and staff. Seclusion is restrictive but less so than physical restraints; however, other interventions should be attempted first.
C. An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session. This is the least restrictive intervention, as it involves verbal redirection rather than confinement or medication.
D. An adult client is given clozapine, an antipsychotic medication, after punching a wall with their fist and telling everyone that they intend to hurt them. Medication can be restrictive when used for behavior control rather than for medical necessity.
Correct Answer is B
Explanation
A. "If you do not like your medications, would you like to try an alternative?" This response shifts focus away from the client's emotional state and does not validate their feelings.
B. "You feel like you have no remaining options and are struggling to find a solution." This response uses therapeutic communication by reflecting the client’s emotions, validating their feelings, and encouraging further discussion.
C. "Would you like to speak to a therapist after treatment?" While therapy may be beneficial, this response does not acknowledge the client's feelings in the present moment.
D. "You would like more information. I will get that for you right away." This response assumes the client is seeking information rather than expressing distress.
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