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. SMI (Serious Mental Illness): SMI refers to chronic mental health conditions, not childhood neglect.
B. ACES (Adverse Childhood Experiences): ACES describe traumatic events in childhood, including neglect, which increase lifelong health risks.
C. MLPS (Medical-Legal Partnership Services): MLPS focuses on integrating legal assistance into healthcare, not childhood trauma.
D. SE model (Social-Ecological Model): The SE model examines how individual, relationship, community, and societal factors impact health but does not define childhood neglect.
Correct Answer is C
Explanation
A. Assault is a tort that only occurs if a client is physically harmed. Assault is the threat of harm, not the actual harm. Physical harm would be battery.
B. False imprisonment does not apply to use of chemical restraints. False imprisonment includes the improper use of both physical and chemical restraints if used without medical justification or consent.
C. Negligence is the most common unintentional tort. Negligence occurs when a nurse fails to meet the standard of care, leading to client harm, making it the most common unintentional tort in healthcare.
D. Battery occurs when a person verbally threatens to harm another person. Battery involves actual physical contact without consent, while threats fall under assault.
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