The charge nurse is talking with another nurse who states, “I feel like my clients have no interest in their care and do not care that I am trying to help.” Which response should the charge nurse make?

A lot of clients behave that way, but you cannot take it personally.

Have you tried to establish a therapeutic relationship with the clients?

Do you want me to assign another nurse?

Clients often behave that way when they are in pain.

Answer and Explanation

The Correct Answer is B

Choice A reason:
While this response acknowledges the nurse’s feelings, it does not provide a constructive solution or address the underlying issue. It may come across as dismissive rather than supportive.

Choice B reason:
Establishing a therapeutic relationship is fundamental to effective nursing care. This response encourages the nurse to build rapport and trust with the clients, which can improve their engagement and cooperation in their care. It is a proactive and supportive suggestion.

Choice C reason:
Offering to assign another nurse does not address the issue of building a therapeutic relationship and may not be feasible. It also does not help the nurse develop skills to improve client interactions.

Choice D reason:
While clients in pain may exhibit disinterest, this response does not address the broader issue of establishing a therapeutic relationship. It focuses on a specific cause rather than providing a general strategy for improving client engagement.

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Correct Answer is A

Explanation

Choice A reason:
Feelings are a key component of the psychological domain in the biopsychosocial model. This domain focuses on the client’s emotions, thoughts, and behaviors, which are crucial in understanding and treating mental health problems. Addressing feelings helps the nurse develop a comprehensive care plan that considers the client’s emotional well-being.

Choice B reason:
Cultural groups fall under the social domain of the biopsychosocial model. This domain includes factors such as family, community, and cultural influences on the client’s health. While cultural considerations are important, they are not part of the psychological domain.

Choice C reason:
Family functioning is also part of the social domain. It involves the dynamics and interactions within the client’s family that can impact their mental health. Understanding family functioning is essential, but it is not categorized under the psychological domain.

Choice D reason:
Sleep patterns can be influenced by both psychological and biological factors. However, in the context of the biopsychosocial model, sleep patterns are typically considered part of the biological domain. The psychological domain specifically addresses the client’s emotions and mental processes.

A. The nurse should have an empathetic relationship with the client. B. The client is the primary focus of the interaction. C. The nurse should self-disclose when indicated. D. The client’s conversations should be recorded.

Correct Answer is B

Explanation

Choice A reason:

Having an empathetic relationship with the client is important, but it is not the most important principle. Empathy helps build trust and rapport, but the primary focus should always be on the client’s needs and experiences.

Choice B reason:

The client being the primary focus of the interaction is the most important principle in therapeutic communication. This ensures that the nurse’s attention and efforts are directed towards understanding and addressing the client’s concerns, promoting their well-being and recovery.

Choice C reason:

Self-disclosure by the nurse should be used sparingly and only when it benefits the client. While it can help build rapport, it is not the primary focus of therapeutic communication. The nurse’s primary role is to listen and support the client.

Choice D reason:

Recording the client’s conversations is not a standard practice in therapeutic communication and can breach confidentiality. The focus should be on creating a safe and trusting environment where the client feels comfortable sharing their thoughts and feelings.

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The charge nurse is talking with another nurse who states, “I feel like my clients have no interest in their care and do not care that I am trying to help.” Which response should the charge nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain?

Correct Answer is A

Explanation

When engaged in therapeutic communication with a client who has been diagnosed with a mental disorder, which is the most important principle for a nurse to keep in mind?

Correct Answer is B

Explanation

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?

A nurse is caring for a client who has bipolar disorder. The client says to the nurse, “Give me your pen to cut the pain out of my chest.” The nurse should identify that the client is at risk for which of the following?

When communicating with a client, which would a nurse use to convey positive body language?

A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client’s confidentiality if the client makes which statement?

A nurse manager is discussing suicide with nursing staff. Which of the following should the manager identify as risk factors for suicide? (Select all that apply)

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, “My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?” Which of the following responses should the nurse make?

A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?