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 D

Explanation

A. Restricted affect: Restricted affect indicates a limited range of emotions but not a complete lack of expression.
B. Broad affect: Broad affect indicates a wide range of emotional expressions, which is not the case here.
C. Blunt affect: Blunt affect indicates a severe reduction in the intensity of emotional expression, but some expression is still present.
D. Flat affect: Correct. Flat affect indicates a complete lack of emotional expression, which matches the client's behavior.

A. "If you don't participate in your care, you will not get better." B. "You can remain in bed until you feel well enough to join the group." C. "I will assist you in getting out of bed and getting dressed." D. "The unit rules state that clients may not remain in bed."

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.

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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 client shows no facial expression when engaging in a game with peers during an outing in the park. The nurse uses which of the following terms when documenting the client's affect?

Correct Answer is D

Explanation

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

A basic assumption of Freud's psychoanalytic theory is that:

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What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plan to kill a family member?

Which of the following is true regarding mental health?

The personality structures of id, ego and supergo were described by

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 enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

When a nurse develops feelings toward a client that are based on the nurse's past experience, it is called