When providing care to a client diagnosed with a mental disorder, the client asks the nurse, “Does mental illness run in your family?” Which response by the nurse would be nontherapeutic?
“Mental illnesses do run in families, and I’ve had a lot of experience caring for people with mental illness.”
“Mental illness can be family related. Let’s focus the discussion on you and how you’re doing today.”
“It sounds like you are concerned that there may be a family connection to your current problem.”
“Yes, it does. I have a sister who was diagnosed several years ago with severe major depression.”
The Correct Answer is D
Choice A reason:
This response provides general information about the hereditary nature of mental illnesses and reassures the client of the nurse’s experience. It maintains a professional boundary and does not disclose personal information, making it a therapeutic response.
Choice B reason:
This response acknowledges the client’s concern about the hereditary nature of mental illness and redirects the focus back to the client’s current situation. It is a therapeutic response that maintains professional boundaries and keeps the conversation client-centered.
Choice C reason:
This response validates the client’s concern and encourages further discussion about their feelings and experiences. It is a therapeutic response that promotes open communication and understanding.
Choice D reason:
Disclosing personal information about the nurse’s family can blur professional boundaries and shift the focus away from the client. It is considered nontherapeutic because it may make the client feel uncomfortable or distract from their own issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Honking the car horn to get the client’s attention could startle the client and potentially escalate the situation. It is important to avoid actions that could provoke a violent response or increase the client’s agitation. Safety is the primary concern, and honking the horn does not ensure the nurse’s or the client’s safety.
Choice B reason:
Stopping the car in the client’s driveway and calling the authorities is not the safest immediate action. While calling the authorities is necessary, stopping in the driveway could put the nurse in a vulnerable position. It is safer to move away from the immediate vicinity before making the call.
Choice C reason:
Keeping driving in a path that is going away from the client’s house is the safest immediate action. This ensures the nurse’s safety by creating distance from the potentially dangerous situation. Once at a safe distance, the nurse can then call the authorities to handle the situation appropriately.
Choice D reason:
Calmly speaking the client’s name out of the car window could also escalate the situation. The client may perceive this as a threat or intrusion, leading to unpredictable behavior. It is safer to avoid direct interaction and ensure personal safety first.
Correct Answer is A
Explanation
Choice A reason:
This statement is supportive and realistic. It acknowledges that while complete symptom elimination may not be possible, adherence to the treatment plan can still significantly improve the client’s quality of life. It encourages the client to continue with their treatment in a positive and hopeful manner.
Choice B reason:
This statement is confrontational and may make the client feel defensive. It does not provide support or encouragement and may hinder the therapeutic relationship.
Choice C reason:
This statement is misleading and dismissive. The medical model does not guarantee the elimination of all symptoms, and suggesting the client see another doctor may undermine their confidence in the current treatment plan.
Choice D reason:
This statement is negative and may discourage the client. It implies that the client will not improve and suggests a drastic change without offering hope or support for their current treatment plan.
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