A client on an inpatient unit angrily says to a nurse. "Peter is not cleaning up after himself in the community bathroom. You need to address this problem. Which is the appropriate nursing response?

I'll talk to Peter and present your concerns."

I can see that you are angry. Let's discuss ways to approach Peter with your concerns."

Why are you overeacting to the issue

You should bring this to the attention of your treatment team.

Answer and Explanation

The Correct Answer is A

A. "I can see that you are angry. Let's discuss ways to approach Peter with your concerns."

This response is empathetic and invites the client to discuss their concerns. However, it doesn't explicitly address the client's request for the nurse to take action. The more appropriate approach would involve the nurse taking direct responsibility for addressing the issue.

B. "Why are you overreacting to the issue?"

This response may be perceived as dismissive and judgmental. It does not validate the client's concerns or address the issue constructively.

C. "You should bring this to the attention of your treatment team."

While involving the treatment team is important, the client has directly approached the nurse with a concern. It is appropriate for the nurse to take the initial step in addressing the issue directly rather than immediately redirecting the client to the treatment team.

D. "I'll talk to Peter and present your concerns."

This is the most appropriate response. It acknowledges the client's concerns, takes responsibility for addressing the issue, and ensures that the client's voice is heard. The nurse can discuss the matter with Peter and work towards a resolution.

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Correct Answer is D

Explanation

A. "The nurse shuffles through papers to determine the facility policy on length of group": This action suggests the nurse is seeking information to guide the group effectively, indicating an active leadership role rather than a laissez-faire style.

B. "The nurse mandates that all group members reveal an embarrassing personal situation": This action involves imposing a specific requirement on group members, which is not characteristic of a laissez-faire leadership style. It's more indicative of an authoritarian or directive approach.

C. "The nurse asks for a show of hands to determine group topic preference": Seeking input from group members is a participative leadership style rather than laissez-faire. Laissez-faire leadership involves minimal interference or direction from the leader.

D. "The nurse sits silently as the group members stray from the assigned topic": This action aligns with a laissez-faire leadership style, as the nurse is allowing the group to proceed without intervention or redirection, even if it means straying from the assigned topic.

A. Challenge the patient at all times and remen in control of the situation B. Provide clear and straight forward communication C. Hold person accountability for their actions D. Remain consistent E. Avoid being too nice or friendly.

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

Explanation

A. Challenge the patient at all times and remain in control of the situation:

Explanation: While maintaining a therapeutic boundary and structure is essential, challenging the patient at all times may lead to resistance or defensiveness. Collaborative and supportive approaches are often more effective than confrontational ones.

B. Provide clear and straightforward communication:

Explanation: Individuals with personality disorders may struggle with interpersonal relationships and communication. Clear and straightforward communication helps to minimize misunderstandings and establish a therapeutic environment.

C. Hold persons accountable for their actions:

Explanation: Accountability promotes responsibility and encourages individuals with personality disorders to take ownership of their behaviors. Setting clear expectations and consequences can be beneficial in fostering a sense of responsibility.

D. Remain consistent:

Explanation: Consistency in approach, rules, and expectations is crucial when working with individuals with personality disorders. It helps establish a stable and predictable environment, promoting a sense of security for the individual.

E. Avoid being too nice or friendly:

Explanation: Avoiding being too nice or friendly doesn't mean being unkind or dismissive. A balanced and professional approach, combining empathy with clear boundaries, is more beneficial. Being overly nice or friendly may blur professional boundaries and hinder therapeutic progress.

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A client on an inpatient unit angrily says to a nurse. "Peter is not cleaning up after himself in the community bathroom. You need to address this problem. Which is the appropriate nursing response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style?

Correct Answer is D

Explanation

When working with individuals who have a personality disorder. The nurse is aware of the importance of incorporating which nursing measures. (Select all that apply).

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

Explanation

What is being assessed when a nurse asks a client to identify name date, residential address, and situation?

A 19 year old patient has a diagnosis of Borderline personality disorder. The patient approaches the nurse and shows multiple fresh cuts on both arms. Which is the most therapeutic response by the nurse?

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A client who has bipolar disorder approaches the nurse and reveals fresh, self-inflicted, superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. How should the nurse further evaluate this possibility?

A nurse on an in-patient unit received the report at 15:00 hours. Which client should the nurse see first?

A client diagnosed with brief psychotic disorder tells a nurse about voices telling him to kill the president. Which nursing diagnosis should the nurse prioritize for this client?

A nurse is discussing the difference between mental illness and mental health with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?