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 B
Explanation
A. Smell, hearing, memory, and emotional expression:
Dysfunction in the frontal lobe typically does not directly affect sensory functions such as smell and hearing. Memory and emotional expression can be influenced by frontal lobe dysfunction, but they are not the primary functions associated with this brain region.
B. Organization of thought, body movement memories, emotions, and moral behavior:
This choice is the most accurate regarding frontal lobe dysfunction. The frontal lobe is responsible for higher-order cognitive functions, including the organization of thoughts, executive functions such as planning and decision-making, regulation of body movements, emotional regulation, and moral behavior. Dysfunctions in the frontal lobe can lead to deficits in these areas, such as difficulty organizing thoughts, impaired body movements (e.g., apraxia), emotional instability, and changes in moral judgment.
C. Language generation and visual interpretation:
Language generation is primarily associated with areas such as Broca's area, which is located in the frontal lobe but is more specifically related to language production and speech. Visual interpretation is more associated with the occipital lobe, which processes visual information. While frontal lobe dysfunction can impact aspects of language and executive functions related to visual tasks, these are not the primary functions typically affected by frontal lobe dysfunction.
D. Taste, touch, and spatial orientation:
Dysfunction in the frontal lobe is not typically associated with deficits in taste, touch, or spatial orientation. These functions are more related to other brain regions, such as the parietal lobe (for spatial orientation) and the sensory cortex (for taste and touch).
Correct Answer is ["740"]
Explanation
To calculate the total intake in mL:
-
4 oz juice = 4 × 30 = 120 mL
-
6 oz tea = 6 × 30 = 180 mL
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100 mL ice chips = 100 × 0.5 = 50 mL (ice chips count as half volume)
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IV bolus = 150 mL
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8 oz broth = 8 × 30 = 240 mL
Total intake:
120 + 180 + 50 + 150 + 240 = 740
Correct answer: 740
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