A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?

"You don't have to be afraid to go. Our therapists are very understanding."

“I am not saying that you need therapy, but I am sure it will help you."

“I understand that you feel like you don't need it; however, the provider thinks it will help."

"You don't feel like group therapy is for you. Tell me more about what you know about group therapy."

Answer and Explanation

The Correct Answer is D

A. "You don't have to be afraid to go. Our therapists are very understanding." This statement assumes the client is afraid and dismisses their perspective.

B. “I am not saying that you need therapy, but I am sure it will help you.” This minimizes the client’s concerns and implies that the nurse knows best.

C. “I understand that you feel like you don’t need it; however, the provider thinks it will help.”This statement dismisses the client’s feelings and shifts the focus to the provider’s opinion rather than the client’s needs.

D. "You don't feel like group therapy is for you. Tell me more about what you know about group therapy." This is an open-ended, client-centered response that encourages discussion and helps the nurse understand the client’s perspective.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Cultural humility involves recognizing and respecting differences in beliefs and values while maintaining self-awareness. It does not explain erratic emotional responses.

B. Countertransference occurs when a nurse projects personal emotions onto a client, leading to overinvolvement (excessive kindness) or negative reactions (hostility). This can affect professional boundaries and care.

C. Transference occurs when a client unconsciously transfers feelings about past relationships onto the nurse (e.g., treating the nurse as a parental figure). This is the reverse of countertransference.

D. Professional competency refers to maintaining clinical skills and ethical behavior. Displaying inconsistent emotional responses toward a client is not an example of competency.

A. An adult client is confined with physical restraints after throwing chairs at other clients and staff. B. An adolescent is taken to a secure, quiet room after threatening and lashing-out at other clients and staff. C. An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session. D. An adult client is given clozapine, an antipsychotic medication, after punching a wall with their fist and telling everyone that they intend to hurt them.

Correct Answer is C

Explanation

A. An adult client is confined with physical restraints after throwing chairs at other clients and staff. Physical restraints are highly restrictive and should be used as a last resort when safety is at risk.

B. An adolescent is taken to a secure, quiet room after threatening and lashing out at other clients and staff. Seclusion is restrictive but less so than physical restraints; however, other interventions should be attempted first.

C. An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session. This is the least restrictive intervention, as it involves verbal redirection rather than confinement or medication.

D. An adult client is given clozapine, an antipsychotic medication, after punching a wall with their fist and telling everyone that they intend to hurt them. Medication can be restrictive when used for behavior control rather than for medical necessity.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

Correct Answer is B

Explanation

A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

Correct Answer is C

Explanation

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

A nurse in a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks. "How is a unit which has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?

A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?