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 C
Explanation
A. Evaluate medical treatments: The DSM (Diagnostic and Statistical Manual of Mental Disorders) does not evaluate medical treatments. It is used for diagnosing mental health conditions, not for assessing the effectiveness of treatments.
B. Understand the reason for the psychiatric admission: While the DSM helps in diagnosing mental disorders, it does not specifically explain the reasons for a psychiatric admission, which may involve multiple factors beyond just diagnosis.
C. Identify the medical diagnosis: The DSM is primarily used to identify and classify mental health diagnoses. This is the most accurate use of the DSM.
D. Treat clients: The DSM is not a treatment manual. It provides diagnostic criteria but does not offer treatment protocols or methods.
Correct Answer is A
Explanation
A. Transference: Transference occurs when a client projects feelings about someone from their past onto the therapist or nurse. The client’s feelings about the nurse being similar to their mother fit this description.
B. Confrontation: Confrontation involves addressing discrepancies or issues directly, which is not the focus here. The situation described is about the client’s feelings towards the nurse.
C. Countertransference: Countertransference occurs when a nurse or therapist has emotional reactions based on their own past experiences, not the client’s feelings about the nurse.
D. Incongruence: Incongruence refers to a mismatch between a person's experiences and their self-concept. The situation described involves the client's feelings toward the nurse rather than incongruence.
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