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 A
Explanation
Choice A reason: The unconscious mind, according to psychoanalytic theory, is where repressed emotions, memories, and desires are stored. These hidden influences affect behavior and mental health without the individual’s conscious awareness.
Choice B reason: Active and current awareness of memories and thoughts describes the conscious mind, not the unconscious.
Choice C reason: Immediate awareness of sensory input and decision-making refers to the conscious and preconscious processes, not the unconscious.
Choice D reason: Voluntary motor control and coordination involve the motor cortex and cerebellum, unrelated to psychoanalytic concepts of the unconscious.
Correct Answer is C
Explanation
Choice A reason: Assigning leadership in a group setting may overwhelm a patient with schizoid personality disorder, as they are uncomfortable with close social interactions. This approach could increase withdrawal.
Choice B reason: Confrontation about avoidance behaviors is not therapeutic. It may heighten resistance and increase distress rather than encourage trust or engagement.
Choice C reason: Structured one-on-one interactions allow the nurse to build rapport while respecting the patient’s preference for limited emotional involvement. This is the most appropriate approach for schizoid personality disorder.
Choice D reason: Forcing daily group therapy participation may cause stress and withdrawal, as these patients are more comfortable with solitary activities. Gentle encouragement, not insistence, is better suited.
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