The nurse assists the physician with electroconvulsive therapy on a client who has refused to give consent, what possible action may this cause the nurse to be charged with?

Breach of confidentiality

Defamation of character

Assault

Battery

Answer and Explanation

The Correct Answer is D

Battery is the intentional and oﬀensive touching of another person without their consent. In this case, the nurse assisted with electroconvulsive therapy on a client who refused to give consent, which could be considered as battery.

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Correct Answer is D

Explanation

This response is open-ended and non-judgmental, allowing the client to reﬂect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.

Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.

Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.

Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.

A. Disassociation-adaptive B. Denial-adaptive C. Rationalization-maladaptive D. Altruism-maladaptive

Correct Answer is A

Explanation

Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide eﬀective care and support to the family despite the chaotic environment.

Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selﬂessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.

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The nurse assists the physician with electroconvulsive therapy on a client who has refused to give consent, what possible action may this cause the nurse to be charged with?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a client who used a condescending tone of voice in the conversation. Which response by the nurse is most therapeutic?

Correct Answer is D

Explanation

A nurse is speaking to the family of a Trauma victim. The nurse is blocking out the siren and alarm noises while speaking with the client’s family. They ask,” How can you be so calm and focused with all this noise going on?” The nurse is practicing which defense mechanism?

Correct Answer is A

Explanation

client recently lost his job. When walking home, the client takes a rock and throws it into a car windshield. The nurse understands me client is using which defense mechanism.

The nurse places a client In the seclusion room until he admits responsibility for the fight In the day room. The nurse's action could be viewed as which of the following?

The nurse states, “I will stay with you until you go for your electro compulsive therapy (ECT) treatment.” Which of the following therapeutic communication techniques is being demonstrated?

Which of the following is an example of an Intentional Tort?

Which therapy focuses on the development of emotion modulation skills and distress tolerance?

Some cultures are likely to engage in self-treatment using healing processes and may diﬀer from Western medicine. The nurse is caring for a client who uses these healing practices. What is the best action by the nurse?