A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of manipulating?

’She is always bossing me around. Should she do that?”

'Can you tell me the reason you get so upset when I go to the mall.”

’Please do not raise your voice at the children. I am the one who left the dishes in the sink.”

'If you keep saying that. I will tell everyone what you did last night.”

Answer and Explanation

The Correct Answer is D

Explanation: Manipulation involves using indirect, underhanded, or deceptive tactics to control or inﬂuence others. In this statement, the speaker is using a veiled threat to control the behavior of another person.

This is an example of manipulative behavior, and the nurse should recognize it as such.

Option A is an example of a statement seeking clarification, not manipulation. The sibling is asking a question about the behavior of the other sibling.

Option A is an example of a statement aimed at understanding the other person's behavior, not manipulation.

Option C is an example of taking responsibility for one's actions and setting boundaries, not manipulation

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Correct Answer is A

Explanation

Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide eﬀective care and support to the family despite the chaotic environment.

Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selﬂessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.

A. The nurse shares information to be polite. B. The nurse limits information and focuses on a client-centered conversation. C. The nurse asks to be assigned to same-gender clients. D. The nurse explains that if she continues, he cannot work with her.

Correct Answer is B

Explanation

In this situation, it is important for the nurse to maintain professional boundaries and avoid sharing personal information with the client. Instead of engaging in a conversation about his personal life, the nurse should redirect the conversation back to the client and their needs. This approach helps to keep the focus on the therapeutic relationship and ensures that the client receives appropriate care and support.

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A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of manipulating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Explanation

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