A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer?
The father who intervenes whenever the siblings argue.
The adolescent daughter who attempts to dominate the discussion.
The adolescent son who refuses to share personal feelings.
The mother who expresses hostility toward her spouse.
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Manage conflict within the group.Conflict management is an important skill for a group facilitator, but it is generally more applicable during the working phase of the group when members begin to express differing opinions and emotions.
B. Encourage the use of problem-solving skills.While encouraging problem-solving is beneficial for group members, this intervention is more appropriate for later phases of the group process, once rapport is established and members are actively discussing their issues.
C. Maintain the group's focus on identified issues.Keeping the group focused on specific issues is important for effective group work. However, in the orientation phase, the primary goal is to introduce the group, establish guidelines, and build relationships.
D. Establish a rapport with group members.In the orientation phase of a support group, the nurse's primary objective is to establish trust and build rapport. Creating a supportive and welcoming environment is essential for adolescents, as it sets the stage for open communication.
Correct Answer is C
Explanation
Nurses have an ethical and legal responsibility to maintain the privacy and confidentiality of a client’s personal and health information obtained in the context of the therapeutic nurse-client relationship.There is both federal and provincial legislation to protect a client’s personal and health information, such as the Health Insurance Portability and Accountability Act (HIPAA) and the HIPAA Privacy Rule in the United States.Nurses should only disclose a client’s information to those who have a need to know, such as other health care providers involved in the client’s care, or with the client’s consent.
Based on this information, the appropriate nursing action when the client’s employer calls to discuss the client’s condition is toconsult the client. The nurse should ask the client if they want to share any information with their employer, and respect their wishes.The nurse should not contact the provider, the facility legal department, or the client’s family without the client’s permission, unless there is a legal obligation or a substantial risk of harm to the client or others
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