The client expresses the loneliness she feels to the nurse. Which response by the nurse demonstrates the existence of a therapeutic relationship?

Have you thought about ways to locate other lonely people?

You need to get involved in community activities.

Loneliness can be a painful and difficult emotion.

Let’s see if we have any common interests.

Answer and Explanation

The Correct Answer is C

Option c demonstrates empathy and understanding toward the client's feelings, which is an essential component of a therapeutic relationship. It acknowledges the client's emotions, validates their experience, and provides support to the client. In contrast, options a and d suggest a solution or an activity to the client, which may not be what the client needs now.

Option b is directive and may make the client feel judged or inadequate.

Therefore, option c is the best response that demonstrates the existence of a therapeutic relationship between the client and the nurse.

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Correct Answer is D

Explanation

Explanation: Manipulation involves using indirect, underhanded, or deceptive tactics to control or inﬂuence others. In this statement, the speaker is using a veiled threat to control the behavior of another person.

This is an example of manipulative behavior, and the nurse should recognize it as such.

Option A is an example of a statement seeking clarification, not manipulation. The sibling is asking a question about the behavior of the other sibling.

Option Ais an example of a statement aimed at understanding the other person's behavior, not manipulation.

Option Cis an example of taking responsibility for one's actions and setting boundaries, not manipulation

A. A client is confused and combative. The nurse restrains him and then immediately seeks a physician’s order. B. A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion. C. A psychotic patient admitted involuntarily runs out of the psychiatric unit. The nurse follows him and succeeds in taking the client into returning to the unit. D. A client hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and acts on established protocol: they prevent him from leaving.

Correct Answer is B

Explanation

A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.

This nursing intervention constitutes false imprisonment because it involves unlawfully restraining the client against their will. In this case, the nurse is using the threat of seclusion to coerce the client into staying in their room, which could be considered unlawful restraint.

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The client expresses the loneliness she feels to the nurse. Which response by the nurse demonstrates the existence of a therapeutic relationship?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of manipulating?

Correct Answer is D

Explanation

Which nursing intervention constitutes false imprisonment?

Correct Answer is B

Explanation

What is the most significant trigger for the development of a nurse-focused countertransference situation?

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