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?"

Answer and Explanation

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.

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Correct Answer is D

Explanation

Battery is the intentional and oﬀensive touching of another person without their consent. In this case, the nurse assisted with electroconvulsive therapy on a client who refused to give consent, which could be considered as battery.

A. “You can’t tell my boss that I attempted suicide.” B. “I can understand why you restrained me when I threatened you.” C. “I can leave anytime I tell you I am not going to hurt myself.” D. “I may be here, but I still have the right to vote.”

Correct Answer is C

Explanation

This statement indicates a lack of understanding about the legal basis for involuntary admission and the criteria for discharge. Involuntary admission is authorized when a person is a danger to themselves or others or is gravely disabled, and the decision to discharge must be based on an evaluation by a qualified professional that the person no longer meets those criteria. Therefore, the client cannot simply leave by telling staﬀ they will not harm themselves. The other options are not indicative of a lack of understanding of the client’s rights.

Option A may indicate a concern about privacy, but the confidentiality of mental health information is protected by law, so the client's boss cannot be informed without their consent.

Option B shows an understanding of the reason for the use of restraints.

Option Ddemonstrates awareness of the right to vote, which is not aﬀected by mental health status.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assists the physician with electroconvulsive therapy on a client who has refused to give consent, what possible action may this cause the nurse to be charged with?

Correct Answer is D

Explanation

A client was involuntarily admitted to a behavioral health facility after trying to harm himself. Which statement by the client would indicate further education is needed regarding his rights?

Correct Answer is C

Explanation

A client is concerned that information given to the nurse remains confidential. Which is the nurse’s best response regarding confidentiality?

Who initiated psychoanalytical therapy as a treatment to assist in understanding the defense mechanism?

A county in Florida was just devastated by a major hurricane. Community mental health nurses have been sent to the area to provide intervention. What type of prevention strategy is this?

During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?

Which of the following behaviors suggests a breach of professional boundaries? (Select all chat to apply)

A nurse is preparing to administer lithium syrup 1800 mg PO bd Available is lithium syrup 600 mg/5 mL How many mL would the nurse administer per dose? (Write the number only, do not include the label Record the answer as a whole number Use a leading zero if it applies Do not use a trailing zero)

The primary reason a client should be included in their treatment plan, if possible, would be for which of the following purposes?