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

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

"Can you tell me the reason you get upset each time I go to the mall?"

"If you keep saying that, I will tell everyone what you did last night."

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

Answer and Explanation

The Correct Answer is B

Choice A Reason:
This statement reflects an attempt to de-escalate a potential conflict by taking responsibility for an action that may have caused distress. However, it does not directly invite dialogue or understanding between family members. Effective communication in family therapy aims to foster open and empathetic dialogue, where members feel heard and understood.

Choice B Reason:
Asking for clarification on emotions connected to specific events is a hallmark of effective communication. This statement opens the door for the family member to share their feelings and for others to understand the perspective behind the emotions. It encourages a non-confrontational exchange of thoughts and feelings, which is essential in family therapy to promote healing and understanding.

Choice C Reason:
This statement is an example of a threat, which can lead to increased tension and conflict within the family. It is counterproductive to the goals of family therapy, which include improving communication and resolving conflicts in a constructive manner. Effective communication should be free of coercion and intimidation.

Choice D Reason:
While this statement may reflect a feeling or concern within the family dynamic, it is framed as an accusation rather than an invitation to discuss the behavior or its impact. Effective communication involves expressing one's own feelings and needs without making judgments about others' actions.

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Correct Answer is D

Explanation

Choice A Reason:
An adventitious crisis is not applicable here. This type of crisis is usually a result of a natural or man-made disaster, war, or major accident, which is not the case with the client's situation.

Choice B Reason:
Maturational crises are associated with life transitions or developmental stages, such as retirement or menopause. While the client is older, the crisis is not due to a normal life transition but rather an unexpected event.

Choice C Reason:
Developmental crises occur as a person moves through the stages of life. The client's crisis does not stem from a developmental issue but from an external event that has disrupted their life.

Choice D Reason:
Situational crises arise from external sources that an individual may face throughout life, such as the death of a loved one, loss of a job, or severe illness. The client's inability to cope with the sudden death of their spouse is a situational crisis.

A. Negative Operant Conditioning B. Positive Role Modeling C. Aggressiveness D. Assertiveness

Correct Answer is B

Explanation

Choice A reason:

Negative Operant Conditioning involves the removal of an unpleasant stimulus to increase the likelihood of a behavior being repeated. In this scenario, the nurse is not removing an unpleasant stimulus but is instead taking over a task to prevent conflict, which does not align with the principles of negative operant conditioning.

Choice B reason:

Positive Role Modeling is demonstrated when an individual exhibits behavior that is beneficial and can be emulated by others. By taking the tray to avoid conflict, the nurse is showing understanding and flexibility, qualities that are positive and can be modeled in a healthcare setting.

Choice C reason:

Aggressiveness is characterized by hostile or forceful behavior or attitudes. The nurse's action of taking the tray to the kitchen is not aggressive; it is a non-confrontational approach to managing the situation.

Choice D reason:

Assertiveness involves standing up for one's own rights in a direct, honest way, while also respecting the rights of others. The nurse's behavior is not assertive, as they are not addressing the client's refusal directly but are instead choosing to complete the task themselves to avoid confrontation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client following the sudden death of their spouse. The client feels stuck in their ability to deal with work and family responsibilities. The nurse should recognize that the client is experiencing which type of crisis?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A home health nurse drives up to the house of her client, who has schizophrenia with manic episodes. The client is sitting on his front porch with a shotgun in his arms. Which of the following actions should the nurse take?

A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures?

A nurse on a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by an aggressive communicator? (Select All that Apply.)

The lead nurse is orienting a new nurse in a mental health unit about the roles of the nurse in Cognitive Behavioral Therapy (CBT). Which statement made by the new nurse demonstrates an understanding of the role of the nurse in CBT? (Select all that apply.)

A nurse is teaching about physiological responses to stress with a group of clients. The nurse should identify that which of the following changes reflect long-term physiological responses to stress? (Select all that apply)