A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?
Identifying possible solutions for the client's problems
Encouraging the client to clarify feelings and behavior
Referring the client to a self-help group
Comparing past and present coping strategies
The Correct Answer is B
A. Identifying possible solutions for the client's problems:
While identifying possible solutions is an important aspect of problem-solving and goal-setting in therapy, it is not the primary focus during the working phase of a therapeutic relationship. The focus is more on exploring and understanding the client's problems, feelings, and behaviors before moving on to generating and evaluating potential solutions.
B. Encouraging the client to clarify feelings and behavior.
During the working phase of a therapeutic relationship, the nurse's role is to facilitate the exploration of the client's problems, emotions, thoughts, and behaviors. Encouraging the client to clarify their feelings and behaviors helps them gain insight into their challenges, triggers, and coping mechanisms, which is essential for problem exploration and resolution. This action promotes self-awareness, reflection, and deeper understanding of the issues at hand, leading to more meaningful discussions and therapeutic progress.
C. Referring the client to a self-help group:
Referring the client to a self-help group can be beneficial for ongoing support, peer connection, and learning from others' experiences. However, during the working phase of a therapeutic relationship, the emphasis is on individual exploration, understanding, and processing of problems within the therapeutic context before considering external resources like self-help groups.
D. Comparing past and present coping strategies:
Comparing past and present coping strategies can provide valuable insights into the client's progress, strengths, and areas for growth. However, this action is more relevant to the assessment and evaluation phases of therapy rather than the working phase focused on exploring and addressing current problems and challenges.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. The DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Text Revision) provides practitioners with standardized criteria and guidelines for diagnosing and treating mental disorders. It helps ensure consistent and evidence-based care across different clients and settings.
B. One of the primary purposes of the DSM-5-TR is to outline the defining characteristics and symptoms that differentiate specific mental health diagnoses. This aids clinicians in accurately identifying and categorizing different disorders based on their clinical presentation.
C. The DSM-5-TR offers a standardized nomenclature and language for mental health professionals. This common framework allows professionals from various disciplines to communicate effectively about mental health conditions, assessments, and treatment plans.
D. The DSM-5-TR does not provide specific standards for hospital or community-based institutions. Instead, it focuses on diagnostic criteria and guidelines for mental disorders, which can inform treatment approaches in various settings.
E. While the DSM-5-TR helps clinicians identify and categorize mental disorders based on symptoms, it does not primarily focus on identifying the underlying causes of these disorders. The manual is more concerned with describing observable symptoms and patterns that characterize different mental health conditions.
Correct Answer is B
Explanation
A. Sigmund Freud:
Sigmund Freud was a pioneering figure in the field of psychology, known for his development of psychoanalytic theory. However, his focus was primarily on understanding the unconscious mind, personality development, and psychosexual stages. He did not advocate for the moral treatment of the mentally ill or the opening of state hospitals.
B. Dorothea Dix:
Dorothea Dix was a prominent social reformer and advocate for the rights of individuals with mental illness in the 19th century. She campaigned extensively for the improvement of mental health care, including advocating for the moral treatment of the mentally ill and the establishment of state-funded mental hospitals. Her efforts led to significant reforms in mental health care in the United States. Therefore, this is the correct answer as she is widely recognized for her advocacy and efforts in improving mental health care and promoting the humane treatment of individuals with mental illness.
C. Hildegard Peplau:
Hildegard Peplau was a nurse theorist known for her work on interpersonal relations in nursing. While she made significant contributions to nursing theory and practice, including in the field of psychiatric nursing, her focus was not specifically on advocating for the moral treatment of the mentally ill or the establishment of state hospitals.
D. Linda Richards:
Linda Richards was a pioneering psychiatric nurse and the first trained nurse in the United States. She made important contributions to psychiatric nursing practice and education. However, her work did not involve advocating for the moral treatment of the mentally ill or the opening of state hospitals.
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