A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?
“I am trying to help you, but you haven't told me why you are overwhelmed yet."
"Have you tried to avoid the situations that are causing you so much stress?"
“Tell me about what you are doing to reduce or cope with your stress."
“I would like to help you. Can you tell me more about what you are feeling?"
The Correct Answer is D
A. "I am trying to help you, but you haven't told me why you are overwhelmed yet." This response sounds dismissive and places responsibility on the client, which may increase their frustration.
B. "Have you tried to avoid the situations that are causing you so much stress?" Avoidance is not a healthy coping mechanism and does not encourage the client to express their feelings.
C. "Tell me about what you are doing to reduce or cope with your stress." While this encourages self-reflection, it does not validate the client’s distress or express empathy.
D. "I would like to help you. Can you tell me more about what you are feeling?" This response shows empathy, offers support, and invites the client to express their emotions, which are key aspects of therapeutic communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "If you do not like your medications, would you like to try an alternative?" This response shifts focus away from the client's emotional state and does not validate their feelings.
B. "You feel like you have no remaining options and are struggling to find a solution." This response uses therapeutic communication by reflecting the client’s emotions, validating their feelings, and encouraging further discussion.
C. "Would you like to speak to a therapist after treatment?" While therapy may be beneficial, this response does not acknowledge the client's feelings in the present moment.
D. "You would like more information. I will get that for you right away." This response assumes the client is seeking information rather than expressing distress.
Correct Answer is B
Explanation
A. The right to refuse care: Autonomy includes the right to refuse care, but it encompasses more than just refusal—it includes active decision-making.
B. The right to self-determination and making decisions about their own healthcare: Autonomy means that clients have the right to make informed decisions about their own care, including choosing, refusing, or modifying treatments.
C. The right to receive care without any input or involvement in decision-making: This contradicts autonomy, as autonomous clients must be actively involved in their healthcare choices.
D. The right to make decisions on behalf of the healthcare provider: Clients do not make decisions for healthcare providers, but rather for themselves.
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