The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

Sharing personal feelings openly with the client

Establishing boundaries for both the nurse and client

Offering sound advice to the client

Avoiding concern with whether the client likes the nurse

Maintaining a client focus at all times

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Sharing personal feelings openly with the client can blur the professional boundaries necessary for a therapeutic relationship and is not typically encouraged.

Choice B reason: Establishing boundaries is crucial in maintaining a professional and therapeutic relationship, ensuring that both the nurse and client understand the limits and expectations of their interactions.

Choice C reason: While offering advice can be part of the therapeutic process, it is more important for the nurse to guide clients in finding their own solutions rather than providing direct advice.

Choice D reason: A therapeutic relationship should be professional and not based on personal feelings. The nurse's concern should be on the client's well-being rather than being liked.

Choice E reason: Maintaining a client focus at all times ensures that the care provided is centered on the client's needs, which is essential in a therapeutic relationship.

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Correct Answer is B

Explanation

Choice A reason: While encouragement is important, it does not necessarily indicate that the family understands the complexities of anorexia nervosa.

Choice B reason: Eating together can provide support and structure, which are important aspects of recovery in eating disorders.

Choice C reason: While resolving family conflicts is beneficial, it does not directly relate to understanding the eating disorder itself.

Choice D reason: Spending less time discussing troublesome family members does not reflect an understanding of how to support a family member with an eating disorder.

A. Refer the client to a psychiatrist since it is important to get treatment for postpartum depression quickly. B. Inform the client that these symptoms will go away and to seek support from friends and family. C. Discuss with the client the potential for involuntary admission to prevent harm to self and newborn. D. Prepare for the administration of an IV neuroactive steroid over a 60-hour period of time.

Correct Answer is A

Explanation

Choice A reason: Referring the client to a psychiatrist is important for a quick evaluation and treatment of postpartum depression, which can be serious if left untreated.

Choice B reason: Informing the client that symptoms will go away may not be therapeutic if the client is experiencing postpartum depression, which requires professional treatment.

Choice C reason: Discussing involuntary admission may be necessary if there is an immediate risk of harm, but it is not the first therapeutic action to take.

Choice D reason: Preparing for the administration of an IV neuroactive steroid could be part of a treatment plan, but it would typically follow a psychiatric evaluation and diagnosis.

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The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides education to a client's family about the client's eating disorder, anorexia nervosa. Which statement would indicate that the education was effective?

Correct Answer is B

Explanation

The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

Correct Answer is A

Explanation

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?

The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?

A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply.)

The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

A nurse is educating the family of an adolescent client with anorexia nervosa about the issues surrounding this eating disorder. Which statement made by the parent indicates that the education is effective?

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?