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:
While interviewing is a component of the nursing process, specifically during the assessment phase, describing the nursing process solely as a method for interviewing is incomplete. The nursing process encompasses much more, including diagnosis, planning, implementation, and evaluation.

Choice B Reason:
This statement accurately reflects the purpose of the nursing process. It is a systematic method used by nurses to assist clients in adapting to stressors, whether they are physical, psychological, or social. The process involves assessing the client's needs, diagnosing issues, planning and implementing interventions, and evaluating the outcomes.

Choice C Reason:
The nursing process does play a role in minimizing allegations of negligence by providing a structured approach to care, but this is not its primary purpose. The main goal is to deliver individualized and effective care to clients, not just to protect against legal issues.

Choice D Reason:
Supporting a psychiatric diagnosis is part of the nursing process, but the statement is too narrow to describe the overall purpose. The nursing process is used to plan and provide personalized care, which goes beyond just supporting a diagnosis.

A. "Antidepressants are not your solution, but this therapy group is." B. "I notice you keep clenching your fists. This needs to stop." C. "Let's discuss what you mean when you say that you cannot ever return to work." D. "You need to work hard on resolving conflict with those closest to you."

Correct Answer is C

Explanation

Choice A reason:
This statement may come across as dismissive of the potential benefits of medication, which can be an important part of treatment for some individuals. It's essential to consider and respect each client's unique treatment needs, including medication.

Choice B reason:
Pointing out physical manifestations of stress in a confrontational way may make the client feel self-conscious or defensive. It's important to address such observations with sensitivity and in the context of exploring feelings.

Choice C reason:
Inviting the client to discuss their concerns about returning to work opens up a dialogue about their fears and challenges. It's a supportive approach that encourages expression and exploration of feelings.

Choice D reason:
While resolving conflicts is important, this directive statement may feel overwhelming to a client who is already dealing with a new cancer diagnosis. It's better to offer support and guidance in navigating interpersonal issues.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing instructor teaches students about the purpose of using the nursing process in the care of psychiatric clients. Which of the following statements by a student indicates that learning has occurred?

Correct Answer is B

Explanation

A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

Two clients are in the garden disagreeing on which plant should go in the corner. One client says to the other, "I would really like to plant the sunflower." The nurse recognizes this as which form of communication response pattern?

A client diagnosed with end-stage renal disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

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?

The nurse is caring for a client in an acute mental health unit. The client states, “I believe my food is poisoned.” Which of the following should be an appropriate action by the nurse?

A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks, "How is a unit that has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?

A nurse is planning care for a group of clients on a mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?

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?