A nurse is caring for a client who has a mental health disorder. The client asks about his medications and their effects. The nurse asks the client why he needs to know this. Which of the following nontherapeutic communication techniques is the nurse using?
Asking for an explanation
Changing the subject.
Behaving defensively
Arguing
The Correct Answer is A
A. Asking for an explanation can make the client feel defensive and is nontherapeutic.
B. Changing the subject involves redirecting the conversation to a different topic.
C. Behaving defensively involves justifying or defending one's actions, which is not evident here.
D. Arguing involves expressing a contrary opinion in a confrontational manner.
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Correct Answer is C
Explanation
A. Keeping silent is unethical and violates the Nurse Practice Acts.
B. Informing the police might be necessary eventually, but the initial report should be to the supervisor.
C. Reporting the incident to the supervisor is the correct and appropriate action according to the Nurse Practice Acts.
D. Discussing the incident with a colleague does not address the legal and ethical obligation to report.
Correct Answer is D
Explanation
A. While this is an error, it did not result in a serious or lasting harm.
B. This action, though without an order, resulted in a positive outcome.
C. This incident was an accident despite the nurse's proper body mechanics and safety measures.
D. Administering a medication to which the client is known to be allergic, resulting in a seizure and respiratory arrest, constitutes a serious breach of standard care and demonstrates malpractice.
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