A nurse and client are engaged in a discussion. The client says, "I feel really close to you. You are the only true friend I have." Which response by the nurse would be most therapeutic?
"Since ours is a professional relationship, let's explore other opportunities in your life for friendship.
"We are definitely not friends. This is strictly professional."
“It makes me feel good that you trust me so much: it is important for the work we are doing together."
"I am sure there are other people in your life who are your friends; besides, we just met."
The Correct Answer is C
A. This response can come off as dismissive or invalidating the client's feelings. It doesn't acknowledge the client's statement about feeling close and needing a friend.
B. This response is blunt and may be perceived as cold or uncaring. It doesn't acknowledge the client's emotional needs or the therapeutic relationship.
C. This response validates the client's feelings of trust and closeness while also emphasizing the importance of the therapeutic relationship for the work being done. It acknowledges the client's emotions in a supportive manner.
D. This response downplays the client's feelings and suggests that the nurse is not a suitable person for friendship. It misses an opportunity to validate the client's emotions and reinforce the therapeutic relationship.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Objectivity:
Objectivity refers to the ability to remain impartial and unbiased when assessing and interacting with clients. While objectivity is important in maintaining professional standards and making objective clinical judgments, it is not the most critical skill in the therapeutic nurse-client relationship in a mental health facility. Empathy, which involves understanding and sharing the client's feelings and experiences, is often considered more crucial in building trust and rapport.
B. Approachability:
Approachability refers to being accessible, open, and welcoming to clients, allowing them to feel comfortable and encouraged to communicate with the nurse. Approachability is indeed an important quality that facilitates communication and relationship-building. However, it is not the most critical skill compared to empathy, which involves deeper emotional understanding and connection with the client's experiences.
C. Interest:
Interest refers to genuine curiosity and concern for the client's well-being, including their thoughts, feelings, and needs. Showing interest in the client's life and experiences is essential for building rapport and trust. However, interest alone may not be sufficient without empathy, which involves actively understanding and validating the client's emotions and perspectives.
D. Empathy:
Empathy is the ability to understand and share the feelings, thoughts, and experiences of another person, including clients in a mental health facility. Empathy is considered the most important skill in the therapeutic nurse-client relationship because it fosters a deep emotional connection, promotes trust and understanding, and validates the client's experiences and feelings. It helps create a supportive and therapeutic environment where clients feel heard, valued, and empowered to work towards their mental health goals.While objectivity, approachability, and interest are valuable skills for a nurse, empathy is considered the most crucial skill in the therapeutic nurse-client relationship in a mental health facility.
Correct Answer is C
Explanation
A. Legislation dramatically changed civil commitment procedures:
While changes in legislation related to civil commitment procedures have occurred over time, such changes were not specifically associated with the 1950s. The 1950s were marked more prominently by advancements in psychopharmacology, leading to the availability of psychotropic medications.
B. Community support services were established:
Although the importance of community support services for mental health became increasingly recognized in the mid to late 20th century, the establishment of comprehensive community support services did not occur as a significant change specifically in the 1950s.
C. Psychotropic drugs became available for use.
One significant change in the treatment of people with mental illness that occurred in the 1950s was the development and availability of psychotropic drugs. Psychotropic drugs are medications that affect brain function and are used to manage symptoms of mental illnesses such as depression, anxiety, schizophrenia, and bipolar disorder. The introduction of psychotropic drugs revolutionized mental health treatment by providing more effective and targeted pharmacological interventions, leading to improvements in symptom management, quality of life, and outcomes for individuals with mental illness.
D. The Patient's Bill of Rights was enacted:
The concept of patient rights and advocacy for ethical and humane treatment in healthcare settings, including mental health facilities, has evolved over time. However, the specific enactment of a Patient's Bill of Rights did not occur as a significant change specifically in the 1950s.
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