When developing a therapeutic nurse-client relationship, building trust with the client is begun in:

the exploitation subphase.

the resolution phase.

the orientation phase.

the problem identification subphase.

Answer and Explanation

The Correct Answer is C

A. the exploitation subphase: The exploitation subphase occurs later in the therapeutic relationship when the client begins to use the relationship for their benefit, not the initial stage of building trust.
B. the resolution phase: The resolution phase is the final stage of the therapeutic relationship when the client’s issues are resolved and the relationship is ending. Trust-building occurs earlier.
C. the orientation phase: This is correct. The orientation phase is the initial stage of the nurse-client relationship where trust is established, and the foundation for future interactions is built.
D. the problem identification subphase: The problem identification subphase involves recognizing and clarifying the client's issues. Trust-building occurs earlier in the orientation phase

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Correct Answer is C

Explanation

A. "If you don't participate in your care, you will not get better." This statement is not therapeutic as it may be perceived as judgmental or coercive. It could further discourage the client, especially if they are struggling with motivation due to depression.
B. "You can remain in bed until you feel well enough to join the group." While this response shows empathy, it might inadvertently reinforce the client's avoidance behavior and contribute to further isolation. It is generally more beneficial to encourage gradual participation rather than allowing complete withdrawal.
C. "I will assist you in getting out of bed and getting dressed." This option is appropriate because it offers support and encouragement in a gentle, non-coercive manner. Assisting the client in small steps can help them overcome inertia and begin to participate more actively in their care.
D. "The unit rules state that clients may not remain in bed." This approach is likely to be perceived as rigid and punitive. It does not address the client’s emotional state or offer support, which is crucial for someone struggling with depression.

A. A condition caused by genetic factors that affects mental health stability B. A severe mental illness that requires long-term psychiatric treatment C. A temporary state of emotional turmoil and confusion that arises during a predictable event and or significant li transitions D. A chronic condition characterized by persistent mental health issues throughout the lifespan

Correct Answer is C

Explanation

A. A condition caused by genetic factors that affects mental health stability: This describes a genetic predisposition to mental health issues, not a maturational crisis.
B. A severe mental illness that requires long-term psychiatric treatment: A maturational crisis is temporary and not necessarily severe or requiring long-term treatment.
C. A temporary state of emotional turmoil and confusion that arises during a predictable event and/or significant life transitions: Correct. This accurately describes a maturational crisis, which occurs during predictable life transitions such as adolescence.
D. A chronic condition characterized by persistent mental health issues throughout the lifespan: A maturational crisis is temporary, not chronic.

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When developing a therapeutic nurse-client relationship, building trust with the client is begun in:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

In the movie, Marcus, a 17-year-old teenager at the group home demonstrates the he is experiencing a maturational crisis. Which of the following best describes a maturational crisis in mental health for a teen?

Correct Answer is C

Explanation

The nurse is performing a psychosocial assessment, the nurse will consider which of the following:

Why would a student nurse find the DSM helpful?

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