A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can assist the client in this stage of the nurse-client relationship with which therapeutic response?

'We have to go over these instructions before you can go. Please try to listen."

"You should be able to regulate your feelings better by now. Why are you angry?"

"I can sense you are angry. Tell me how you feel about being discharged today."

"Would you rather not be discharged today?"

Answer and Explanation

The Correct Answer is C

A. "We have to go over these instructions before you can go. Please try to listen." - This response may come across as dismissive or confrontational, which can escalate the client's anger and hinder effective communication. It does not demonstrate empathy or understanding of the client's emotions.

B. "You should be able to regulate your feelings better by now. Why are you angry?" - This response can be perceived as judgmental and invalidating of the client's emotions. It does not promote a supportive or therapeutic environment for the client to express their feelings.

C. "I can sense you are angry. Tell me how you feel about being discharged today." - This response acknowledges the client's emotions empathetically and invites them to express their feelings openly. It demonstrates a therapeutic understanding of the client's perspective and creates an opportunity for effective communication and problem-solving.

D. "Would you rather not be discharged today?" - This response acknowledges the possibility that the client may have concerns or preferences about discharge. It opens the door for further discussion and exploration of the client's feelings and needs regarding the discharge process.

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Correct Answer is A

Explanation

A. Parent Surrogate: A parent surrogate refers to someone who acts as a substitute or stand-in for a parent, making decisions and providing care in the absence of the actual parent. While nurses may provide parental guidance and support, especially in therapeutic settings for adolescents, imposing consequences for rule-breaking is not necessarily acting as a parent surrogate.

B. Caregiver: A caregiver is someone who provides physical and emotional care to individuals in need, such as patients or clients in healthcare settings. While nurses do fulfill the role of caregivers by providing support and meeting the needs of their patients, imposing consequences for rule-breaking is not primarily an aspect of the caregiver role.

C. Advocate: An advocate is someone who speaks up on behalf of another person to ensure their rights, preferences, and well-being are respected and promoted. While nurses do advocate for their patients in various ways, such as advocating for their healthcare needs or treatment preferences, imposing consequences for rule-breaking is not typically considered an advocacy role.

D. Teacher: A teacher is someone who imparts knowledge, skills, and guidance to others, typically in an educational or instructional setting. While nurses may provide education and guidance to their patients, especially regarding health-related topics, imposing consequences for rule-breaking is not directly related to the role of a teacher.

A. Behavior viewed as acceptable in one culture is acceptable in all cultures. B. Many ever-changing components and interrelated factors influence a persons’ mental health. C. Mental illness often causes impaired functioning. D. Mental health and mental illness are easy to define. E. Mental health is evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.

Correct Answer is ["B","C","E"]

Explanation

A. Behavior viewed as acceptable in one culture is acceptable in all cultures. False. Cultural norms and values vary widely, and what is acceptable behavior in one culture may not be acceptable in another.

B. Many ever-changing components and interrelated factors influence a person's mental health. True. Mental health is influenced by a complex interplay of biological, psychological, social, and environmental factors that can change over time.

C. Mental illness often causes impaired functioning. True. Mental illnesses can affect a person's thoughts, emotions, behaviors, and overall functioning, leading to impairment in various areas of life such as work, relationships, and self-care.

D. Mental health and mental illness are easy to define. False. Mental health and mental illness are complex concepts that can be challenging to define precisely due to their multidimensional nature and varying perspectives across cultures and disciplines.

E. Mental health is evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability. True. These factors, among others, are commonly associated with good mental health and can indicate a person's overall mental well-being.

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A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can assist the client in this stage of the nurse-client relationship with which therapeutic response?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is ["B","C","E"]

Explanation

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