A nurse on a mental health unit is preparing to assist with the admission of a new client. Which of the following actions should the nurse plan to take during the therapeutic nurse-client relationship? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps)

Introduce self and set goals for the relationship.

Examine personal thoughts and feelings about meeting the client.

Summarize the achievement of goals that have been met.

Assist the client with identifying problem-solving techniques,

Answer and Explanation

The Correct Answer is B,A,D,C

A. Examine personal thoughts and feelings about meeting the client: The nurse should first engage in self-reflection to identify any biases, anxieties, or expectations. This helps ensure that personal feelings do not interfere with establishing a therapeutic and professional relationship with the client.

B. Introduce self and set goals for the relationship: After self-reflection, the nurse introduces themselves to the client and collaboratively establishes the goals and boundaries of the therapeutic relationship. This step builds trust and sets clear expectations for interactions.

C. Assist the client with identifying problem-solving techniques: Once the relationship is established, the nurse helps the client develop coping and problem-solving strategies. This step supports the client’s growth, autonomy, and ability to manage challenges effectively.

D. Summarize the achievement of goals that have been met: At the conclusion of the therapeutic relationship, the nurse reviews progress with the client and summarizes goals that were achieved. This reinforces accomplishments, encourages continued growth, and provides closure to the relationship.

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Correct Answer is C

Explanation

A. A toddler who has atopic dermatitis: Atopic dermatitis is a common chronic skin condition and does not increase the risk of child maltreatment. While it may require ongoing care, it is not associated with higher rates of abuse or neglect.

B. An only child: Being an only child is not a recognized risk factor for child maltreatment. Maltreatment risk is more closely related to caregiver stress, child vulnerability, and family dynamics rather than sibling status.

C. A school-age child who has cerebral palsy: Children with physical or developmental disabilities are at increased risk for maltreatment due to caregiver stress, dependency, and communication barriers. These children may be less able to protect themselves or report abuse, making them more vulnerable.

D. A child who was conceived by in vitro fertilization: Conception through assisted reproductive technology does not increase the risk of child maltreatment. These children are often highly desired and planned, which does not align with known risk factors for abuse or neglect.

A. To stay with the client's body for 8 hr following their death B. To bury the client's body within 24 hr of the death C. To cremate the client's body D. To prohibit medical personnel from touching the client's body

Correct Answer is C

Explanation

A. To stay with the client's body for 8 hr following their death: While family presence is important, there is no specific Hindu requirement for remaining with the body for a set number of hours. Practices vary, and extended vigil is not a universal expectation.

B. To bury the client's body within 24 hr of the death: Hindu tradition typically favors cremation rather than burial. Burial within a specific timeframe is not commonly observed in Hindu customs.

C. To cremate the client's body: Cremation is the preferred method of body disposition in Hinduism, as it is believed to release the soul from the physical body and aid in the process of reincarnation. Nurses should anticipate and facilitate cremation requests according to religious customs.

D. To prohibit medical personnel from touching the client's body: While modesty and respect are important, Hindu practices generally do not prohibit caregivers from providing postmortem care. Proper handling with reverence and adherence to rituals is expected rather than a complete prohibition.

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Naxlex Comprehensive Predictor Exams

A nurse is discussing risk factors for child maltreatment with a newly licensed nurse. Which of the following examples should the nurse include?

Correct Answer is C

Explanation

A nurse is assisting in providing postmortem care for a client who was a devout follower of Hinduism. Which of the following requests should the nurse anticipate from the client's family?

Correct Answer is C

Explanation

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