A nurse is caring for a child who is imitable and angry because their parents are getting a divorce. Which of the following represents the most important reason why the nurse should establish a therapeutic relationship with the client?
Therapeutic relationships can help the child express their feelings,
Focusing on the strengths increases a person's self-esteem.
Therapeutic relationships provide an outlet for tension.
Acceptance and trust convey feelings of security to the child.
The Correct Answer is D
A. Helping the child express their feelings is important, but it is a secondary benefit of the therapeutic relationship rather than the primary purpose. While expression of emotions is facilitated, the foundation of the relationship is deeper.
B. Focusing on strengths to increase self-esteem is valuable in nursing care, but it is not the central reason for establishing a therapeutic relationship. This intervention complements but does not define the relationship itself.
C. Providing an outlet for tension is a positive outcome, yet it is one aspect of emotional support rather than the primary rationale for forming a therapeutic relationship.
D. Acceptance and trust convey feelings of security to the child is correct. therapeutic relationship in pediatric nursing emphasizes that a therapeutic relationship establishes a safe, trusting environment, which is essential for children experiencing stress or emotional turmoil, such as during parental divorce. Through consistency, trust, and acceptance, the child feels secure enough to explore feelings, process experiences, and develop coping skills. Security and trust form the foundation that allows all other supportive interventions to be effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Referring the adolescent to resources aimed at reducing socioeconomic stressors is correct. social determinants of health recognizes that factors such as poverty, food insecurity, and unstable housing can exacerbate depression in adolescents. Connecting the adolescent and family to support programs (e.g., food assistance, housing resources, financial aid) helps alleviate stressors contributing to depressive symptoms and promotes overall mental health.
B. Advising the family to relocate may not be feasible due to financial constraints. While neighborhood conditions can influence mental health, suggesting relocation without considering resources is unrealistic and may increase stress, making it an inappropriate intervention.
C. Focusing solely on the adolescent’s mental health without addressing socioeconomic factors is incomplete. Effective depression management, especially in adolescents living in poverty, requires a holistic approach that considers environmental and social contributors to mental health.
D. Encouraging mental health treatment without considering financial challenges may result in limited access to care. Interventions must be tailored to the adolescent’s resources to ensure adherence and effectiveness.
Correct Answer is B
Explanation
A. Aphasia is a language disorder that affects the ability to speak, understand, read, or write. While it impacts communication, it does not involve the inability to recognize familiar objects or people, so it is not the correct answer.
B. Agnosia is the inability to recognize or identify objects, people, sounds, shapes, or smells despite intact sensory function. In this scenario, the patient cannot recognize a family member visually, which is characteristic of visual agnosia, a subtype of agnosia. This condition is often associated with brain injury or damage to the occipital or temporal lobes.
C. Agraphia refers to the inability to write, usually due to brain injury affecting language or motor areas. It does not involve recognition of people or objects.
D. Apraxia is the inability to perform purposeful movements or carry out learned motor tasks despite having the physical ability and desire to do so. It does not impair recognition of familiar individuals.
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