During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:
"The time we spend together is to discuss your concerns."
"Nurses direct the interviews with patients."
"Do not ask questions about my personal life."
"Why do you keep asking about me?"
The Correct Answer is A
Choice A reason: Redirecting the focus back to the patient in a therapeutic and nonjudgmental way ensures the conversation remains centered on the client’s needs. This maintains professional boundaries while being supportive.
Choice B reason: Stating that nurses direct interviews is authoritative and may come across as rigid. It does not encourage patient openness.
Choice C reason: Responding with a prohibition sounds harsh and judgmental. It could damage rapport and shut down communication.
Choice D reason: Asking "why" can make the patient feel defensive, which is not therapeutic. It shifts the focus to justification rather than reflection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Calorie restriction during pregnancy is not a recommended preventive measure and may actually harm fetal development by causing malnutrition.
Choice B reason: Maternal viral infections during pregnancy, such as influenza, have been associated with an increased risk of schizophrenia in offspring. Preventing infections through vaccination, hygiene, and avoiding exposure is a protective measure.
Choice C reason: Iron deficiency should be prevented, not encouraged, since adequate maternal nutrition supports healthy fetal brain development. Limiting iron intake would not reduce schizophrenia risk and could increase complications.
Choice D reason: While teenage pregnancy carries social and medical risks, it is not directly linked to increasing schizophrenia risk in offspring compared to maternal infections during pregnancy.
Correct Answer is A
Explanation
Choice A reason: This response acknowledges the client’s experience without reinforcing the hallucination. It demonstrates empathy, maintains reality orientation, and builds trust, which are crucial therapeutic approaches.
Choice B reason: Challenging hallucinations with logic is not effective and can increase client defensiveness or distress. It may also escalate paranoia rather than reduce it.
Choice C reason: Avoiding the client ignores their distress and can increase isolation. Engagement is necessary to provide reassurance and therapeutic support.
Choice D reason: Directly denying the hallucination can invalidate the client’s experience, leading to mistrust and further paranoia. A more supportive acknowledgment is preferred.
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