A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?
"Everything will be okay until morning. You can speak with your provider then."
"You seem to be very upset about something. Tell me about it."
"Go back to your room, and I'll try to get in touch with your provider in the morning."
"Why don't you wait to speak to your provider in the morning?"
The Correct Answer is B
This response reflects active listening and demonstrates empathy towards the client's feelings. It acknowledges the client's distress and encourages them to express their concerns and thoughts. By actively listening and showing genuine interest, the nurse can gather more information to assess the client's needs and determine the appropriate course of action.
Let's discuss why the other options are incorrect:
A. "Everything will be okay until morning. You can speak with your provider then." This response may dismiss or invalidate the client's current distress and fails to address their immediate concerns. It suggests waiting until morning without exploring the reasons behind the client's urgency.
C. "Go back to your room, and I'll try to get in touch with your provider in the morning." While the intention may be to offer assistance, this response does not address the client's emotional state or explore the reasons for their demand to see the provider. It may also not address the client's immediate needs and concerns.
D. "Why don't you wait until the morning? The provider will be available then." This response may come across as dismissive and may not acknowledge the client's current distress. It does not encourage the client to express their concerns or provide an opportunity for open communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The statement "Providers are required to warn individuals if the client threatens harm" demonstrates an understanding of the legal exception known as the duty to warn or protect. It means that if a client expresses an intent to harm themselves or others, healthcare providers have a legal obligation to take appropriate actions, which may include notifying potential victims or authorities.
Incorrect:
1. "The legal requirement for client confidentiality does not apply if the client is deceased." - This statement is incorrect. Client confidentiality extends even after a client's death, and healthcare professionals are still expected to maintain confidentiality regarding the client's health information.
2. "Staff members are required to divulge information regarding a client's hospitalization to a client's employer." - This statement is incorrect. Healthcare professionals are required to maintain client confidentiality and cannot disclose a client's health information to their employer without the client's explicit consent or as mandated by specific legal requirements.
3. "Healthcare workers can use client confidentiality for their own legal defense." - This statement is incorrect. Client confidentiality is meant to protect the client's privacy and
maintain trust. It cannot be used by healthcare workers as a defense mechanism in legal matters.
Correct Answer is B
Explanation
Dissociation is a defense mechanism in which a person disconnects from their thoughts, feelings, memories, or sense of identity as a way to cope with overwhelming or traumatic experiences. In this case, the client's inability to remember anything that happened after seeing the suspects in the stabbing is a form of dissociation. It is a way for the client to psychologically distance themselves from the traumatic event and protect themselves from the emotional distress associated with it.
A- Projection is a defense mechanism where an individual attributes their own undesirable thoughts, feelings, or impulses onto someone else.
C- Repression is a defense mechanism where disturbing or unacceptable thoughts, memories, or feelings are pushed into the unconscious mind.
D- Sublimation is a defense mechanism where unacceptable impulses or emotions are redirected into socially acceptable activities.
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