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 B
Explanation
A. Maturational: Maturational crises occur during life transitions or developmental stages, such as adolescence or retirement. The client’s response to a sudden loss does not fit this category.
B. Adventitious: Adventitious crises are caused by unexpected or external events, such as natural disasters or violent incidents. The sudden death of a partner fits this category, as it is an unexpected and external event impacting the client’s life.
C. Developmental: Developmental crises involve issues related to developmental stages and transitions. The client’s reaction to a sudden death is not related to developmental stages but rather to an unexpected loss.
D. Situational: Situational crises arise from specific, often unexpected events that disrupt an individual’s life, such as job loss or sudden illness. The sudden death of a partner is more accurately described as an adventitious crisis rather than a situational crisis.
Correct Answer is B
Explanation
A. Thought content: Thought content refers to the subject matter of what a person is thinking about, such as the presence of delusions or obsessions, but not necessarily whether their thoughts are logical.
B. Thought process: Thought process involves the way thoughts are organized and connected. Assessing if ideas are logical and make sense pertains to the thought process.
C. Memory: Memory pertains to the ability to recall information, not the logical consistency of thought processes.
D. Sensorium: Sensorium relates to the state of consciousness and awareness, not the logical structure of thoughts.
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