A client who had been in a substance abuse treatment program asks the nurse for a date after the client is discharged. The nurse talks to the client about the importance of a therapeutic relationship and its characteristics. The nurse is using which of the following techniques?
Defining boundaries.
Reprimanding the client.
Defining therapy.
Letting the client down gently.
The Correct Answer is A
A. Defining boundaries is correct because the nurse is reinforcing the professional limits of the therapeutic relationship and clarifying that it cannot become personal.
B. Reprimanding the client would be punitive and non-therapeutic.
C. Defining therapy focuses on explaining the process and purpose of therapy, not setting relationship limits.
D. Letting the client down gently avoids the necessary professional discussion about boundaries and could blur roles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The nurse must not promise to keep information about hopelessness or potential suicidal thoughts secret because safety concerns override confidentiality; the nurse should explain this and immediately assess for suicidal ideation and take appropriate protective actions.
B. Promising not to tell anyone maintains secrecy and prevents the nurse from ensuring the client's safety.
C. Asking “What can we do to help you feel better?” is therapeutic but skips the necessary clarification about confidentiality and an immediate suicide risk assessment.
D. Changing the subject to “cheer you up” minimizes the client's feelings and is nontherapeutic.
Correct Answer is B
Explanation
A. Values are abstract standards that guide behavior, not simply ideas held as true.
B. Beliefs are correct because they represent convictions or ideas that an individual accepts as true, whether or not supported by evidence.
C. Attitudes are predispositions or feelings toward people, objects, or situations, not necessarily truths a person accepts.
D. Personal philosophy is an overall system of thought or worldview, broader than a single idea held as true.
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