The nurse asks the client "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for some time. What actions by the nurse is the most therapeutic?
Sit quietly until the client responds
Tell the client they must express the unpleasant feelings
Apologize for asking such a personal question
Change the subject to something the client will discuss
The Correct Answer is A
A. Sit quietly until the client responds: Correct. This allows the client time to process their thoughts and respond at their own pace, showing respect and patience.
B. Tell the client they must express the unpleasant feelings: Incorrect. This directive approach can be intrusive and may pressure the client.
C. Apologize for asking such a personal question: Incorrect. Apologizing might imply that the question was inappropriate, which can shut down communication.
D. Change the subject to something the client will discuss: Incorrect. Changing the subject can convey a lack of interest or avoidance of the client's true feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Client's insurance status: While important for planning and access to care, it is not a primary focus of a psychosocial assessment.
B. Client history: Client history is part of the assessment but does not cover the psychosocial aspect comprehensively.
C. Client's culture and spiritual beliefs: Culture and spiritual beliefs are critical to understanding the client's psychosocial background and providing holistic care. These can significantly influence the client’s values, behaviors, and perceptions of health and illness.
D. Client's mood and affect: Mood and affect are important components of the client's current psychological state. These provide insight into the client’s current emotional state and can help identify any psychological distress or disorders.
Correct Answer is B
Explanation
A. "Tell me about the concerns that you have regarding your relationship." This open-ended question encourages the client to share their concerns and is appropriate.
B. "I think you should try to see your wife's point of view as well as your own." This statement provides advice and can appear to be taking sides, which requires intervention.
C. "We should invite your partner to be a part of our discussion." Including the partner in the discussion can be beneficial for family therapy and is appropriate.
D. "Relationship difficulties are stressful and require effort to resolve." This statement validates the client's experience and is appropriate.
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