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. 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.
Correct Answer is D
Explanation
A. "Why do you think you might have cancer when your diagnosis is a benign condition?" This response is not therapeutic as it questions the client’s concerns in a dismissive manner and could increase anxiety.
B. "I think that's something you need to discuss further with your doctor." This response deflects the issue to the doctor and does not provide immediate support or acknowledgment of the client's feelings.
C. "I have reviewed your history and I don't see any reason for you to worry about that." This response may minimize the client’s concerns and does not address the client's emotional state effectively.
D. "I'm hearing that you are concerned that you could have cancer."This is the most therapeutic response as it acknowledges the client’s fears and provides an opportunity for further discussion and emotional support.
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