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.

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Correct Answer is C

Explanation

A. "The effects of ACEs affect adolescents, but they do not affect them once they reach adulthood." This is incorrect because ACEs have lifelong consequences, increasing the risk for mental health disorders, chronic diseases, and risky behaviors well into adulthood.

B. "Adults are more at risk for depression, while adolescents are more at risk for obesity." While both depression and obesity can occur, ACEs increase the risk of mental and physical health issues at all stages of life, and obesity is not exclusive to adolescents.

C. "Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide." Research shows that ACEs increase the risk of chronic illnesses (e.g., cancer, COPD) in adulthood and also elevate suicidal risk in adolescents.

D. "ACEs have the same effect on adults and adolescents." While ACEs affect all age groups, their manifestations differ: adolescents may experience mental health issues and risky behaviors, while adults may develop chronic illnesses and long-term emotional dysregulation.

A. “You only need to provide a copy to your family." B. "Advance directives are not needed for individuals who have a mental illness." C. "Giving you legal advice about advance directives is outside my scope of practice." D. "You should provide a copy to your providers, family members, and lawyer."

Correct Answer is D

Explanation

A. "You only need to provide a copy to your family." While family members should have a copy, they are not the only ones who need it. Healthcare providers and legal representatives should also have access.

B. "Advance directives are not needed for individuals who have a mental illness." Clients with mental illness can and should have advance directives, especially regarding psychiatric treatment preferences.

C. "Giving you legal advice about advance directives is outside my scope of practice." While nurses cannot provide legal advice, they can educate clients on the importance of advance directives and who should receive a copy.

D. "You should provide a copy to your providers, family members, and lawyer." Advance directives should be shared with healthcare providers, family members, and legal representatives to ensure they are followed in case of a crisis.

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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 nurse is reinforcing teaching with a newly licensed nurse about the effects of adverse childhood experiences (ACES) across the lifespan. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse tells a patient that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the patient's medication. Which ethical principle is she demonstrating?

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A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

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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?