The nurse is working with a client who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurses values concerning responsible parenting. When discussing family roles with the client, the nurse shows positive regard through which statement?

"Can the children's mother get by for a while until you get better?

"How is not working right now affecting you?"

"You need to somehow support your children."

"How do you expect your kids to be provided for?"

Answer and Explanation

The Correct Answer is B

A. "Can the children's mother get by for a while until you get better?": This statement is dismissive of the client's responsibility and does not show positive regard.
B. "How is not working right now affecting you?": Correct. This statement shows empathy and concern for the client's well-being without passing judgment, which reflects positive regard.
C. "You need to somehow support your children.": This statement is directive and judgmental, not reflecting positive regard.
D. "How do you expect your kids to be provided for?": This statement is confrontational and does not demonstrate positive regard.

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Correct Answer is C

Explanation

A. "Why do you think your father chose that time and place to yell at you?" This question might come across as blaming or accusatory, potentially making the client defensive.
B. "Well it sounds like your father has difficulty controlling his temper." This statement focuses on the father's behavior rather than the client's feelings, which isn't empathetic.
C. "You must have been embarrassed when your father yelled at you in the grocery store." This response acknowledges and validates the client's feelings, demonstrating empathy.
D. "You really should find your own housing and get out of the situation with your father." This advice-giving response might seem insensitive to the client's current situation and lacks empathy.

A. Sit quietly until the client responds B. Tell the client they must express the unpleasant feelings C. Apologize for asking such a personal question D. Change the subject to something the client will discuss

Correct Answer is A

Explanation

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.

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Naxlex Comprehensive Predictor Exams

Which of the following statements would be an empathetic response in a client interaction?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

Which of the following statements about nonverbal communication skills is accurate?

A nurse is caring for a newly admitted female client who has depression and refuses to get out of bed, dress, or participate in group therapy. Which of the following is an appropriate nursing response?

Which is a positive aspect of treating clients with mental illness in a community-based care?

A nurse in an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system? (Select all that apply.)

A nurse is caring for an older adult client who has dementia and is agitated. The client says, "I have to go home and see my mother." The nurse replies, "You miss your mother." Which of the following therapeutic techniques is the nurse using?

A nurse is caring for a client following the recent, sudden death of his partner. The client says, "I feel paralyzed and can't seem to cope with work or family responsibilities anymore." Which of the following types of crisis is the client demonstrating?

The client tells the nurse "My biggest problem right now is trying to deal with a divorce. I didn't want a divorce and I still don't. But it's happening anyway!" Which of the following responses by the nurse will convey empathy?

A nurse is caring for an older adult client who has a fractured hip. The client says, "I guess I've lived long enough and my time is up." Which of the following responses should the nurse make?