A nurse is working with a client who used a condescending tone of voice in the conversation. Which response by the nurse is most therapeutic?
"I feel angry when I hear that tone of voice."
“You make me so angry when you talk to me that way.'
“Are you trying to make me angry?"
“Why do you use that condescending tone of voice with me?"
The Correct Answer is D
This response is open-ended and non-judgmental, allowing the client to reflect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.
Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.
Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.
Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Sublimation is a defense mechanism in which socially unacceptable impulses or drives are redirected into socially acceptable activities or behavior. For example, someone who has aggressive tendencies may channel those impulses into playing competitive sports, or someone who has sexual desires may channel those impulses into creative work like painting or writing.
Regression refers to a defense mechanism where an individual retreats to an earlier stage of development, such as acting like a child when under stress. Undoing is a defense mechanism in which an individual tries to undo or negate a previous action or thought, such as making up for a mistake by performing a good deed. Suppression is a defense mechanism where an individual consciously avoids thinking about or dealing with certain thoughts or emotions.
Correct Answer is B
Explanation
The Americans with Disabilities Act (ADA) was signed into law on July 26, 1990. The ADA prohibits discrimination against individuals with disabilities in employment, public accommodations, transportation, and other areas of society. The law defines a disability as a physical or mental impairment that substantially limits one or more major life activities.
While mental illness was not specifically mentioned in the text of the ADA, it was included in the law's definition of disability. This meant that individuals with mental illnesses were protected under the law and could not be discriminated against in the same way as individuals with physical disabilities.
The ADA was a significant milestone in the recognition of mental illness as a legitimate disability, and it helped to promote greater understanding and acceptance of individuals with mental health conditions.
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