A client states that her fiancé just ended their relationship. The PMHNP says, “Oh no! That is awful! You must be so heartbroken.” This is an example of what?
Accurate empathy
Sympathy
Confrontation
Specificity
The Correct Answer is B
Choice A reason: Accurate empathy involves understanding and reflecting the client’s feelings in a way that validates their experience without projecting the clinician’s own emotions. The PMHNP’s response is more emotionally loaded and personal than what accurate empathy typically entails.
Choice B reason: Sympathy refers to expressing sorrow or pity for someone else’s misfortune. The PMHNP’s statement, “Oh no! That is awful! You must be so heartbroken,” conveys emotional concern and pity, which aligns with the definition of sympathy.
Choice C reason: Confrontation in therapy involves challenging the client’s thoughts or behaviors to promote insight or change. There is no element of challenge or discrepancy in the PMHNP’s response, so this does not apply.
Choice D reason: Specificity refers to providing clear, precise feedback or communication. The PMHNP’s response is emotionally expressive but not specific in terms of therapeutic guidance or feedback.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Trauma-informed care emphasizes recognizing the widespread impact of trauma and integrating this understanding into all aspects of care. Clinicians are trained to identify signs of trauma and avoid practices that may retraumatize clients. This approach fosters safety, trust, and empowerment.
Choice B reason: While trauma can influence mental health, delaying diagnosis until trauma is ruled out is not a standard practice. Trauma-informed care encourages comprehensive assessment but does not prohibit diagnosis.
Choice C reason: Although ACE scores are valuable tools, assessing trauma at every visit is not a universal requirement. Trauma-informed care is more about creating a safe environment and being responsive to trauma history when relevant.
Choice D reason: Assuming everyone has experienced trauma may lead to overgeneralization and bias. Trauma-informed care promotes sensitivity and awareness, not assumptions. It focuses on individualized care and avoids pathologizing clients based on presumed trauma.
Correct Answer is A
Explanation
Choice A reason: The client exhibits traits of both avoidant and dependent personality disorders. Avoidant personality disorder is marked by social inhibition, feelings of inadequacy, and hypersensitivity to criticism. Dependent personality disorder involves excessive reliance on others for decision-making and daily tasks. Her avoidance of social interaction, fear of rejection, and dependence on her husband and mother support this dual diagnosis.
Choice B reason: Borderline personality disorder involves emotional instability, impulsivity, and intense interpersonal relationships. The client does not display mood lability, self-harm, or unstable relationships typical of borderline personality disorder.
Choice C reason: Social anxiety disorder involves intense fear of social situations due to concerns about being judged or embarrassed. While the client has social avoidance, her pervasive dependence and submissiveness suggest a personality disorder rather than an anxiety disorder alone.
Choice D reason: Agoraphobia is the fear of being in situations where escape might be difficult or help unavailable. It typically involves avoidance of public places, not reliance on others for social tasks or submissiveness in relationships.
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