The nurse has requested that the client take the food tray back into the kitchen area on the psychiatric unit. The client states, "I don't want to do it because I should be going home any minute now." To avoid a confrontation, the nurse takes the tray into the kitchen for the client. Which type of behavior is the nurse exhibiting?

Negative Operant Conditioning

Positive Role Modeling

Aggressiveness

Assertiveness

Answer and Explanation

The Correct Answer is B

Choice A reason:

Negative Operant Conditioning involves the removal of an unpleasant stimulus to increase the likelihood of a behavior being repeated. In this scenario, the nurse is not removing an unpleasant stimulus but is instead taking over a task to prevent conflict, which does not align with the principles of negative operant conditioning.

Choice B reason:

Positive Role Modeling is demonstrated when an individual exhibits behavior that is beneficial and can be emulated by others. By taking the tray to avoid conflict, the nurse is showing understanding and flexibility, qualities that are positive and can be modeled in a healthcare setting.

Choice C reason:

Aggressiveness is characterized by hostile or forceful behavior or attitudes. The nurse's action of taking the tray to the kitchen is not aggressive; it is a non-confrontational approach to managing the situation.

Choice D reason:

Assertiveness involves standing up for one's own rights in a direct, honest way, while also respecting the rights of others. The nurse's behavior is not assertive, as they are not addressing the client's refusal directly but are instead choosing to complete the task themselves to avoid confrontation.

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Correct Answer is B

Explanation

Choice A Reason:
The statement that clients can be hospitalized for as long as the provider deems necessary is not entirely accurate. Involuntary admission is regulated by law, and there are specific criteria and time frames that must be adhered to. For example, if a person is admitted involuntarily, they must either be discharged within a certain number of days or brought to a mental health court to request a longer commitment.

Choice B Reason:
This statement is correct. Clients who are involuntarily admitted retain their rights, including the right to informed consent. They should be informed about their condition, the proposed treatments, and the potential risks and benefits, and they should be involved in their care decisions as much as possible.

Choice C Reason:
Administering medications to clients who refuse them is a complex issue. While there are circumstances where treatment may be given against a client's wishes, particularly if they pose a danger to themselves or others, this must be done within the framework of the law, which includes respecting clients' rights and obtaining necessary legal orders.

Choice D Reason:
The laws regarding the use of restraints on involuntarily admitted clients are indeed different and often more stringent. These laws are designed to protect the rights of clients and ensure that restraints are used only when absolutely necessary and as a last resort.

A. Advocates for their rights as well as the rights of others. B. Seeks to avoid expressing personal opinions. C. Is often controlling during conversations. D. Is often anxious about how their message will be received. E. Tends to blame others for misunderstandings. F. Frequently interrupts others during conversation.

Correct Answer is ["C","E","F"]

Explanation

Choice A Reason:
Advocating for one's rights and the rights of others is not typically seen as a characteristic of aggressive communication. It can be a feature of assertive communication, where the individual stands up for their rights in a respectful and non-confrontational manner.

Choice B Reason:
Seeking to avoid expressing personal opinions is not characteristic of aggressive communicators. Aggressive communicators are more likely to forcefully express their opinions without regard for others' feelings or perspectives.

Choice C Reason:
Being controlling during conversations is a hallmark of aggressive communication. Aggressive communicators often dominate discussions, impose their views, and may disregard others' input.

Choice D Reason:
Feeling anxious about how messages will be received is not typically associated with aggressive communication. This trait is more aligned with passive communication, where individuals may be concerned about others' reactions and thus may hold back their true thoughts.

Choice E Reason:
Blaming others for misunderstandings is a common behavior in aggressive communication. Aggressive communicators may not take responsibility for their part in a conflict and instead put the blame on others.

Choice F Reason:
Frequently interrupting others during conversation is indicative of aggressive communication. This behavior demonstrates a lack of respect for others' contributions and a desire to control the conversation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

Correct Answer is B

Explanation

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by an aggressive communicator? (Select All that Apply.)

Correct Answer is ["C","E","F"]

Explanation

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

A nurse is caring for an older adult client following the sudden death of their spouse. The client feels stuck in their ability to deal with work and family responsibilities. The nurse should recognize that the client is experiencing which type of crisis?

A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?

A nurse is developing a care plan for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?

A nurse on a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

A nurse is teaching about physiological responses to stress with a group of clients. The nurse should identify that which of the following changes reflect long-term physiological responses to stress? (Select all that apply)

The nurse is caring for a newly admitted client diagnosed with catatonic schizophrenia. Which of the following behaviors should the nurse document to be consistent with catatonic schizophrenia? The client:

A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?