A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

"Your behavior will be disappointing to your provider."

"I'm taking away your privileges for the rest of the week."

"yelling at others is unacceptable."

"Why did you hit another client?"

Answer and Explanation

The Correct Answer is C

A. "Your behavior will be disappointing to your provider." This statement is not helpful because it focuses on the feelings of the provider rather than addressing the behavior itself or its consequences for the client.
B. "I'm taking away your privileges for the rest of the week." This is a punitive response and does not address the immediate issue of the client's behavior. It is more important to address the behavior and its impact rather than imposing a punishment.
C. "Yelling at others is unacceptable." This statement directly addresses the behavior and sets a clear boundary. It is an appropriate way to communicate that the behavior is not acceptable.
D. "Why did you hit another client?" This question assumes the client hit another client, which might not be accurate and can escalate the situation. It’s better to address the observed behavior directly.

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Correct Answer is D

Explanation

A. Assist the client in addressing a specific problem: While Maslow’s hierarchy can help identify underlying needs that may contribute to a specific problem, it is not primarily used for addressing specific problems directly. Instead, it provides a framework for understanding the broader context of a client’s needs.
B. Change a client's behavior: Maslow’s hierarchy is not specifically designed to change behavior. It is more about understanding the different levels of needs that motivate behavior. Behavior change might be a result of addressing these needs, but it is not the primary purpose of the hierarchy.
C. Establish a therapeutic relationship: Understanding a client’s needs according to Maslow’s hierarchy can help build rapport and trust, which are essential for a therapeutic relationship. However, the primary use of the hierarchy is not to establish relationships but to understand and prioritize needs.
D. Prioritize care: This is the most accurate use of Maslow’s hierarchy. It helps nurses prioritize care by addressing the most fundamental needs first (such as physiological and safety needs) before moving on to higher-level needs (such as love/belonging, esteem, and self-actualization). This ensures that the most critical needs are met first, which is essential in a healthcare setting.

A. Giving information B. Listening attentively C. Reflecting D. Offering advice

Correct Answer is D

Explanation

A. Giving information: This is actually a key component of therapeutic communication. It helps clients understand their situation and the care they are receiving, which can empower them and reduce anxiety.
B. Listening attentively: Active listening is fundamental to effective therapeutic communication.
C. Reflecting: Reflecting helps the client to explore their feelings and thoughts.
D. Offering advice: Offering advice can create a barrier because it may come across as judgmental or directive, rather than supportive. It can also undermine the client’s autonomy and ability to make their own decisions. Therapeutic communication focuses on listening, understanding, and reflecting the client’s feelings and experiences.

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A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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