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 C

Explanation

Countertransference occurs when a healthcare provider unconsciously redirects their own feelings and emotions onto their client. This can be triggered by similarities between the client and someone from the provider’s past or present, or by similarities between the client’s situation and the provider’s own experiences. In this case, if the nurse and client have similar histories, it may trigger countertransference in the nurse.

A. Avoid wearing necklaces during client care. B. Know the layout of the facility. C. Stand directly in front of the client while talking. D. Bring security with you for all interactions. E. Provide Immediate verbal feedback for escalating behavior.

Correct Answer is ["A","B","E"]

Explanation

These are all important measures to take when working with a client with a history of anger and aggression. Avoiding wearing necklaces can help prevent injury in case of an aggressive outburst. Knowing the layout of the facility can help staﬀ quickly and safely respond to any incidents. Providing immediate verbal feedback for escalating behavior can help de-escalate the situation and prevent further aggression

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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

What is the most significant trigger for the development of a nurse-focused countertransference situation?

Correct Answer is C

Explanation

A nurse manager is providing staﬀ education about working with a client with a history of anger and aggression. Which of the following information should the nurse manager include in the teaching? (Select all that apply).

Correct Answer is ["A","B","E"]

Explanation

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