The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?

"You just need to get away for a few hours. Find a babysitter and go to a movie."

“I am not sure that I understand what you mean. Tell me more about how you feel."

The nurse moves closer to the mother and places a hand on her shoulder.

"It sounds as if you are concerned about your ability to care for your baby."

Answer and Explanation

The Correct Answer is A

A. This response dismisses the mother's feelings and offers a solution without addressing her emotional concerns. It does not support or validate her feelings, which is considered nontherapeutic.

B. This is a therapeutic response as it seeks to understand and validate the mother’s feelings.

C. This is a therapeutic response as it involves empathetic nonverbal communication.

D. This is a therapeutic response as it acknowledges and validates the mother’s feelings.

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Correct Answer is C

Explanation

A. This statement is non-assertive and shows a willingness to sacrifice personal needs rather than clearly delegating a task.

B. This statement is aggressive and confrontational, focusing on punishment rather than constructive communication.

C. This statement clearly defines the task, sets expectations, and is assertive about the priority of client care while acknowledging the assistant's needs.

D. This statement is directive and dismisses the assistant’s needs, which is not an effective or empathetic way to delegate tasks.

A. The nurse is able to resolve conflict and identify appropriate and attainable goals. B. The nurse experiences energy and excitement when providing nursing care. C. The nurse realizes that there is hope when caring for patients who are dying. D. The nurse is frustrated because of time constraints that were not experienced as a student.

Correct Answer is D

Explanation

A. Resolving conflicts and setting goals indicates adjustment, not reality shock.

B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.

C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.

D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.

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The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse plans to delegate a client's personal hygiene to a nursing assistant. Which statement, if made by the nurse to the nursing assistant, is assertive?

Correct Answer is C

Explanation

A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

Correct Answer is D

Explanation

Which of the following statements made by the nurse best demonstrates the "S" in the DESC script?

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