Which action would the nurse include when beginning a relationship with a new patient? Select all that apply.
(Select All that Apply.)

Help the patient to identify personal strengths and limitations.

Explore, in depth, the problems faced by the patient.

Clarify how long the relationship will last.

Review the terms of confidentiality.

Help the patient prioritize and revise ineffective coping behaviors.

Answer and Explanation

Correct Answer : A,D,E

Choice A Reason:

Helping the patient to identify personal strengths and limitations is appropriate. This helps build a positive foundation for the therapeutic relationship by focusing on the patient's strengths and empowering them in the process.

Choice B Reason:

Explore, in depth, the problems faced by the patient is inappropriate. While understanding the patient's concerns is important, diving too deeply into problems at the beginning might be overwhelming. It's often more effective to gradually explore issues as trust is established.

Choice C Reason:

Clarifying how long the relationship will last is inappropriate. Specifying the duration of the therapeutic relationship may create anxiety for the patient. Therapeutic relationships are often open-ended, and discussing termination should occur at an appropriate time in the future.

Choice D Reason:

Reviewing the terms of confidentiality is appropriate. Clarifying the terms of confidentiality is important to establish trust and inform the patient about the boundaries of the therapeutic relationship.

Choice E Reason:

Helping the patient prioritize and revise ineffective coping behaviors is appropriate. Collaboratively working with the patient to identify and address ineffective coping behaviors is a therapeutic intervention that supports the patient in their journey toward improved mental health.

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Correct Answer is B

Explanation

Choice A Reason:

This response is dismissive and invalidates the son's feelings of guilt. It does not acknowledge or address his emotional distress. Providing false reassurance and shifting focus to work is not therapeutic.

Choice B Reason:

This response reflects therapeutic communication. It validates the son’s feelings by acknowledging his guilt and encourages him to express his emotions. Reflective listening allows the nurse to build trust and support the son in processing his emotions.

Choice C Reason:

Asking "Why" can feel accusatory or judgmental, making the son defensive. While the statement attempts to provide reassurance, it fails to address his emotional state and may shut down further communication.

Choice D Reason:

Although this response provides some reassurance and normalization, it minimizes the son's emotions by focusing on generalizations. It lacks the reflective quality necessary for therapeutic communication in this situation.

A. "Your provider is very knowledgeable, if he prescribes chemotherapy, it's the best treatment for you.” B. "Using nontraditional treatments is not a good deal a rather you avoid that route” C. "Tell me more about your concerns about taking chemotherapy.” D. "A lot of people think nontraditional treatments will work they and due too late that leave the wrong choice.”

Correct Answer is C

Explanation

Choice A Reason:

"Your provider is very knowledgeable, if he prescribes chemotherapy, it's the best treatment for you.” This response may be perceived as dismissive of the client's concerns and preferences. It is important to acknowledge and explore the client's perspective rather than making assumptions.

Choice B Reason:

"Using nontraditional treatments is not a good deal, rather you avoid that route.” This response is directive and may be seen as judgmental. It does not invite the client to share their concerns openly and may hinder effective communication.

Choice C Reason:

"Tell me more about your concerns about taking chemotherapy.” This response encourages open communication and demonstrates active listening. It allows the nurse to understand the client's concerns and preferences regarding chemotherapy. This approach supports a collaborative decision-making process, respects the client's autonomy, and helps build trust in the nurse-client relationship.

Choice D Reason:

"A lot of people think nontraditional treatments will work, they end up regretting that choice. “This response introduces a potentially guilt-inducing statement and may create a negative atmosphere. It does not encourage the client to express their thoughts and concerns openly.

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Which action would the nurse include when beginning a relationship with a new patient? Select all that apply. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

Which statement suggests a struggle with Erikson's phase of Identity vs. role confusion? Select one:

Which statement describes the focus of psychiatric emergency care?

The nurse can best communicate to a patient that she has been listening by:

The nurse states to the patient "You say that you are sad, but you are smiling..." Which option describes the purpose of this therapeutic communication technique?

A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?

A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply)

Which style of leadership is demonstrated when an advanced practice nurse running a group on the adolescent unit makes no attempt to control the topic or the member's behavior and makes no comment unless asked a direct question?

Which action would the nurse include when beginning a relationship with a new patient? Select all that apply.
(Select All that Apply.)