A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

Avoid eye contact with the client to prevent the client from feeling awkward.

Remain silent after asking the client a question to allow the client a chance to respond.

Ask questions that only require one-word answers to prevent anxiety about answering detailed questions.

Have music on in the background to distract the client from being anxious.

Answer and Explanation

The Correct Answer is B

A. Avoid eye contact with the client to prevent the client from feeling awkward. Avoiding eye contact may come off as dismissive and can hinder rapport-building.

B. Remain silent after asking the client a question to allow the client a chance to respond. Using therapeutic silence gives the client time to gather their thoughts and feel heard.

C. Ask questions that only require one-word answers to prevent anxiety about answering detailed questions. Open-ended questions encourage communication and help establish trust.

D. Have music on in the background to distract the client from being anxious. Music might be a distraction rather than a rapport-building tool, as it may prevent active listening.

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Correct Answer is B

Explanation

A. "The gathering spaces should have the chairs positioned around the perimeter of the day room." Seating arrangements should encourage interaction and engagement, not isolation. A circular arrangement fosters group discussion and socialization.

B. "The milieu consists of the physical and psychosocial environmental factors." Therapeutic milieu refers to the structured environment of a mental health unit, which includes both physical (safety, layout) and psychosocial (staff interactions, routines) components that support healing.

C. "The clients can keep any personal items they would like in their rooms." While personal items can be comforting, safety concerns may limit what clients can keep. Sharp objects, lighters, or items that could be used for self-harm are typically restricted.

D. "A therapeutic milieu requires unstructured programming, allowing clients to focus on their interests." A structured routine is essential in a therapeutic milieu to promote stability, predictability, and therapeutic engagement. Unstructured environments may increase anxiety or behavioral issues.

A. Exploitation phase B. Termination phase C. Orientation phase D. Working phase

Correct Answer is D

Explanation

A. Exploitation phase : This is an outdated term; it refers to a subphase of the working phase, but not specifically to goal-setting after initial goals are met.

B. Termination phase: The termination phase is when the nurse-client relationship ends and final evaluations are made, not when new goals are set.

C. Orientation phase: The orientation phase is when the initial goals and trust are established, not when new goals are set.

D. Working phase: The working phase involves active intervention and goal achievement. When initial goals are met, new ones are set, making this the best answer.

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A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

Correct Answer is D

Explanation

A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

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 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?

What is the definition of patient autonomy?

What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

A nurse in a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

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

A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?