A recently widowed client becomes tearful at a routine clinic visit and states, "I just can’t get over my spouse’s death." Which of the following by the nurse are appropriate? (Select all that apply.)

"A friend of mine passed away recently. I know how hard losses can be."

"I see that you are distressed. What are your thoughts about attending a grief support group?"

"I see that you’re upset. I will step out while you process these feelings."

"It may take a while, but coming to terms with loss gets easier with time."

"This is a difficult time. Tell me about how you have been coping."

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Sharing personal loss shifts the focus away from the patient, which is not therapeutic. Self-disclosure in this way can hinder supportive communication.

Choice B reason: Suggesting a grief support group acknowledges the patient’s feelings while offering a constructive coping resource. It validates distress and provides support.

Choice C reason: Leaving the patient when they are emotionally vulnerable conveys abandonment instead of support, which is not therapeutic.

Choice D reason: Normalizing grief as a process that takes time offers reassurance without minimizing the client’s emotions. It helps the patient understand that healing is gradual.

Choice E reason: Encouraging the patient to share coping strategies promotes expression of feelings and helps the nurse assess adaptive versus maladaptive coping mechanisms.

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Correct Answer is D

Explanation

Choice A reason: Classical conditioning is associated with behavioral theory, particularly the work of Pavlov, and is not central to Rogers’ humanistic approach.

Choice B reason: Changing distorted thought patterns reflects cognitive-behavioral therapy, which differs from Rogers’ emphasis on humanistic principles.

Choice C reason: Psychoanalysis focuses on unconscious drives and conflicts, a concept developed by Freud, not Carl Rogers.

Choice D reason: Rogers highlighted unconditional positive regard, empathy, and the belief in a client’s potential for growth as essential to therapeutic relationships, forming the foundation of his humanistic approach.

A. Schizotypal disorder B. Paranoid personality disorder C. Antisocial personality disorder D. Schizoid disorder

Correct Answer is D

Explanation

Choice A reason: Schizotypal disorder is characterized by eccentric behaviors, odd beliefs, and perceptual distortions. While social difficulties are common, the primary feature is not a lack of interest in relationships but unusual thought patterns and behaviors.

Choice B reason: Paranoid personality disorder involves pervasive distrust and suspicion of others. Clients often avoid relationships due to fear of being exploited, not because of a lack of interest in intimacy.

Choice C reason: Antisocial personality disorder is defined by disregard for others’ rights, impulsivity, and rule-breaking behaviors, not by withdrawal from sexual or social relationships.

Choice D reason: Schizoid disorder is marked by detachment from social relationships and a limited range of emotional expression, including little to no interest in sexual activity or partnerships, making this the best match.

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A recently widowed client becomes tearful at a routine clinic visit and states, "I just can’t get over my spouse’s death." Which of the following by the nurse are appropriate? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Carl Rogers emphasized a humanistic approach in mental health nursing. Which of the following core concepts is central to his theory and therapeutic work?

Correct Answer is D

Explanation

A nurse is caring for a client who states, "I have no interest in sexual activity or finding a partner." The nurse should identify that this statement is consistent with which of the following personality disorders?

Correct Answer is D

Explanation

A client is exhibiting signs of severe anxiety, including hyperventilation, restlessness, and difficulty concentrating. Which communication approach should the nurse use to effectively support the client during this crisis?

A 6-year-old child is showing behaviors such as excessive handwashing and reluctance to use the bathroom independently. According to Freud’s psychosexual theory, fixation at which stage is most likely contributing to these behaviors?

A nurse is educating a client starting on risperidone. Which of the following statements best explains the unique pharmacological action of second-generation antipsychotics compared to first-generation antipsychotics?

A nurse physically restrains a mentally ill client without obtaining proper consent or a physician's order, despite the client not posing an immediate threat to self or others. Which intentional tort could the nurse potentially be liable for?

A 28-year-old client with a diagnosis of Avoidant Personality Disorder tells the nurse, "I want to make friends. I'm too afraid they'll laugh at me or think I'm weak." Which nursing intervention is most appropriate to help this client begin developing healthier interpersonal relationships?

A client with schizophrenia who has a history of paranoid delusions asks the nurse, "Are you giving me something to poison me?" The nurse knows the client is receiving an antipsychotic medication. Applying the ethical principle of veracity, which response by the nurse is most appropriate?

Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

A nurse is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan? (Select all that apply.)