A nurse is observing a newly licensed nurse as she assists in providing family therapy for a client regarding relationship concerns with his spouse. Which of the following statements to the client by the newly licensed nurse requires intervention by the nurse?
"We should invite your partner to be a part of our discussion."
"Tell me about the concerns that you have regarding your relationship."
"I think you should try to see your wife's point of view as well as your own."
"Relationship difficulties are stressful and require effort to resolve."
The Correct Answer is C
This statement implies that the nurse is taking sides and suggesting a specific course of action to the client. It is important for the nurse to remain neutral and non-directive during family therapy sessions. The nurse's role is to facilitate open communication, active listening, and understanding between the family members, rather than imposing their own opinions or suggesting specific solutions.
To ensure a therapeutic and unbiased approach, the nurse should intervene and provide feedback to the newly licensed nurse, reminding them to maintain a neutral stance and encourage the client to explore their own perspectives and feelings about the relationship.
Incorrect:
A. "We should invite your partner to be a part of our discussion." This statement suggests involving the partner, which is a common practice in family therapy. It recognizes the importance of including all relevant family members in the therapeutic process.
B. "Tell me about the concerns that you have regarding your relationship." This statement encourages the client to express their concerns and provides an opportunity for them to share their thoughts and feelings about the relationship. It promotes open communication and active listening.
D. "Relationship difficulties are stressful and require effort to resolve." This statement acknowledges the challenges in relationships and emphasizes the need for active participation and effort to address and resolve issues. It sets a realistic expectation for the client and supports their engagement in the therapeutic process.
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Correct Answer is D
Explanation
It is important for the nurse to establish and maintain appropriate professional boundaries with the client. This includes respecting the client's personal space and privacy. By maintaining appropriate boundaries, the nurse ensures a therapeutic and professional relationship that focuses on the client's needs and promotes their well-being.
The other options are not appropriate when developing a relationship with the client:
1. Share personal information to help the client feel comfortable: While it is important to build rapport and create a supportive environment, sharing personal information may blur professional boundaries and divert the focus from the client to the nurse. The therapeutic relationship should primarily revolve around the client's needs and experiences.
2. Develop an emotional commitment to the client: While empathy and compassion are essential in providing care, it is important for the nurse to maintain professional objectivity. Developing an emotional commitment can make it challenging for the nurse to maintain appropriate boundaries and could lead to potential ethical issues.
3. He reminds the nurse of a personal friend or relative: It is important for the nurse to remain unbiased and treat each client as an individual. Drawing comparisons or associations with personal acquaintances can influence the nurse's objectivity and professionalism in providing care.
Correct Answer is C
Explanation
When planning an interview for a newly admitted client and deciding who to include, the nurse should use the method of including people whom the client views as family. It is important to consider the client's perception and definition of family, as this can vary from person to person. Family can include not only blood relatives or individuals related by marriage but also those who have significant emotional connections and provide support to the client.
Incorrect:
A. Including people who can support the client adequately: While it is essential to include individuals who can provide support to the client, support can come from various sources beyond family members. Including only those who can support the client adequately may exclude important individuals in the client's life who are not considered family but still play a significant role.
B. Including people who live in the same house with the client: While individuals living in the same house as the client may have daily interactions and involvement in the client's life, they may not necessarily be considered family by the client. It is crucial to consider the client's perception of family and include individuals based on that definition.
D. Including people who are related to the client by blood and marriage: While blood relatives and individuals related by marriage can be part of the client's family, limiting the inclusion to only these individuals may exclude others who are important to the client's support system.
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