A client states, "I will just die if I don't get this job." The nurse then asks the client, "What will be the worst that will happen if you don't get the job?" Why does the nurse ask this question?
To assist the client to make alternative plans for the future
To clarify the client's meaning
To help the client appraise their situation more realistically
To assess whether the client has health problems compounded by stress
The Correct Answer is C
The nurse is utilizing a cognitive intervention known as decatastrophizing. In cognitive behavioral therapy (CBT), catastrophizing is a cognitive distortion where an individual assumes that a negative event is much more disastrous than it actually is, often leading to excessive anxiety or feelings of hopelessness.
Rationale:
A. While making alternative plans may eventually be necessary, the immediate goal of the nurse's question is to address the client's current distorted thought process. Planning for the future is a secondary step that occurs only after the client has achieved a more balanced perspective on the current situation.
B. The nurse is not seeking clarification of the client's literal meaning (the client does not actually intend to die). Instead, the nurse is challenging the exaggerated emotional weight the client has placed on the job outcome to help them shift from an emotional to a rational framework.
C. By asking "What is the worst that will happen?", the nurse helps the client appraise the situation more realistically. This technique forces the client to move past the vague feeling of "doom" and identify concrete, manageable consequences. When the client realizes that life continues even without the job, their stress levels typically decrease.
D. Chronic stress can indeed lead to physiological health problems, but this specific question is a psychosocial assessment tool aimed at thought patterns. It is not a screening tool for somatic conditions like hypertension or gastric ulcers that might be compounded by the client's anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Therapeutic communication is a goal-oriented process that facilitates the building of a professional nurse-client relationship. It utilizes verbal techniques to encourage the expression of feelings and promotes behavioral change. Effective communication requires active listening, empathy, and the avoidance of non-therapeutic barriers that stifle the client’s autonomy and emotional processing.
Rationale:
A. Offering self involves providing the nurse's physical presence and time without making specific demands on the client. This technique conveys unconditional acceptance and interest, which is different from asking the client to initiate a specific topic or lead the direction of the conversation.
B. Focusing is a technique used to direct the client’s attention to a single point or specific idea. It is utilized when a client is jumping from topic to topic, whereas the question stem describes a non-restrictive approach that allows the client to choose any subject.
C. Encouraging expression is a broad goal that asks the client to describe their internal perceptions or feelings about specific experiences. Although related, it typically follows an initial opening and seeks to deepen the emotional exploration of a topic already introduced during the clinical interview.
D. Broad openings allow the client to take the intellectual initiative in the interaction. By using open-ended prompts, the nurse discourages small talk and emphasizes that the client's needs are the primary focus of the therapeutic session, preventing the nurse from dominating the dialogue.
Correct Answer is ["A","B","C"]
Explanation
Family resilience refers to the ability of a family system to withstand and rebound from adversity, strengthened and more resourceful than before. It involves a set of shared organizational patterns and communication processes that help the family unit maintain stability and cohesion during periods of crisis or chronic stress.
Rationale:
A. Spending time together is a foundational element of family bonding and cohesion. Resilient families prioritize shared time, which fosters a sense of belonging and provides a consistent support network that members can rely on when facing external challenges.
B. Participation in rituals and traditions (such as holiday celebrations, weekly dinners, or religious observances) provides a sense of continuity and identity. These predictable patterns offer psychological security and reinforce the family's shared values and history, which are critical protective factors during transitions.
C. Engaging in recreational activities together promotes positive emotional experiences and reduces collective stress. Shared play and leisure improve communication and help family members build relational reserves, making it easier for them to collaborate effectively when a crisis occurs.
D. While individual autonomy is healthy, the specific characteristic of resilience focuses on interconnectedness and shared routines. Highly individualized or unique daily routines that pull members away from the collective unit do not necessarily contribute to the resilience of the family as a whole. Resilience is built through synchronized efforts and shared habits.
E. Independence is the opposite of the interdependence required for resilience. While family members should be self-sufficient, a resilient family relies on mutual support and the understanding that the well-being of one member affects the whole. Extreme independence can lead to isolation, which weakens the family's ability to act as a unified support system.
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