A nurse is interviewing a client who has a personality disorder. The nurse and client have agreed on an interview time, but the client resists discussing her feelings until 5 minutes prior to the end of the session and then asks for additional time. Which of the following actions should the nurse take?
Extend the scheduled time, as the client is finally able to discuss important feelings.
End at the scheduled time, telling the client that he can continue at the next scheduled session.
Arrange for another nurse to continue the interview.
Set an extra meeting time to discuss the client's feelings.
The Correct Answer is B
Choice A reason: Extending the scheduled time could reinforce the client's resistance to discussing feelings until the end of the session, which is not therapeutic.
Choice B reason: Ending at the scheduled time maintains boundaries and structure, which are important in the therapeutic relationship, especially with clients who have personality disorders.
Choice C reason: Arranging for another nurse to continue the interview may disrupt the continuity of care and the therapeutic relationship.
Choice D reason: Setting an extra meeting time could be considered if the client's needs are urgent, but it is not the best option in this scenario as it may reinforce avoidance behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Displacement is a defense mechanism where a person redirects a negative emotion from its original source to a less threatening recipient, which is what Mr. Thomas is doing.
Choice B reason: Projection involves attributing one's own unacceptable feelings or thoughts to others, which is not what Mr. Thomas is doing.
Choice C reason: Regression is a return to earlier stages of development when faced with stress, which does not describe Mr. Thomas's behavior.
Choice D reason: Reaction formation involves behaving in a way that is opposite to what one truly feels, which is not indicated in this scenario.
Correct Answer is D
Explanation
Choice A reason: Thinking/content of thought refers to the logical process of thought and coherence, not directly to the experience of reality.
Choice B reason: Mood and affect pertain to the emotional state and its expression, not the perception of reality.
Choice C reason: Judgment involves decision-making abilities and the evaluation of situations, not the perception of reality.
Choice D reason: Perception is the component that deals with how a person experiences reality, including any hallucinations or delusions they may have.
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