A nurse is caring for a client who chooses to leave against medical advice (AMA). Which comment by the nurse is considered nontherapeutic?
“If you leave, you will be making a big mistake.”
“I want to make sure you have all the information you need before you go.”
“Can we talk about what is making you want to leave?”
“I respect your decision, but I must inform you of the potential risks.”
The Correct Answer is A
Choice A reason: Telling a client they are making a big mistake is judgmental and nontherapeutic. It undermines autonomy and may increase resistance. Therapeutic communication requires respect and support, even when clients make difficult decisions.
Choice B reason: Offering information before the client leaves is therapeutic. It ensures the client is making an informed decision and demonstrates concern for their well-being.
Choice C reason: Exploring the client’s reasons for leaving is therapeutic. It allows the nurse to address concerns, clarify misunderstandings, and potentially resolve issues that led to the decision.
Choice D reason: Respecting the client’s decision while informing them of risks balances autonomy with professional responsibility. It is therapeutic and ensures the client understands the consequences of leaving AMA.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Prioritizing the client’s needs while maintaining professional boundaries is essential in establishing a therapeutic relationship. It ensures care is client-centered and prevents boundary violations.
Choice B reason: Accepting gifts of significant value can create conflicts of interest and blur professional boundaries. This is not appropriate in therapeutic relationships.
Choice C reason: Using personal beliefs to guide client decisions is unprofessional and violates autonomy. The nurse’s role is to provide information and support client decision-making.
Choice D reason: Giving advice may undermine client autonomy and independence. The nurse should guide and educate rather than make decisions for the client.
Correct Answer is B
Explanation
Choice A reason: Supportive questions provide understanding and empathy, which is opposite of the effect described in the stem.
Choice B reason: Asking “Why did you stop taking your medication?” can imply blame or criticism, which may make the client feel defensive and reduce open communication.
Choice C reason: Neutral questions do not provoke defensiveness; this question has a tone that can be interpreted as judgmental.
Choice D reason: While confusing questions may frustrate clients, the main concern here is the perceived judgment and resulting defensiveness.
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