A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
"Why do you think that he said that to you?"
"You sound upset about today's session."
"I think you should ignore the comment."
"I agree that the comment was inappropriate."
The Correct Answer is B
A. This response may inadvertently blame the client or imply that they provoked the inappropriate comment, which can be invalidating.
B. Validating the client's feelings acknowledges their experience and provides support.
C. Encouraging the client to ignore the comment may minimize their feelings and the impact of the inappropriate behavior.
D. Agreeing that the comment was inappropriate is validating, but it does not address the client's emotional response or provide support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Oxygen saturation is not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
B. Phenelzine is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis. Therefore, assessing the client's blood pressure is essential to monitor for potential hypertensive effects.
C. Bowel sounds are not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
D. Pupil response is not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
Correct Answer is B
Explanation
A. Discussing the importance of confidentiality is important but should not be the first action.
Addressing immediate emotional needs and coping strategies takes precedence.
B. Identifying prior coping skills helps establish a foundation for managing the current crisis. It allows the nurse to build on existing strengths and provide support tailored to the adolescents'
individual needs.
C. Reviewing community resources is valuable but should come after addressing immediate emotional needs and identifying coping skills.
D. Initiating referrals may be necessary, but it should follow the identification of coping skills and immediate emotional support.
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