A nurse is caring for a client who refuses to attend group therapy. Which of the following statements should the nurse make?

"If I were you, I would go to a few therapy sessions to give them a try."

"One of my friends went to group therapy and they improved significantly."

"You have the right to refuse to attend group therapy."

"You should go to group therapy if you want to get better.

Answer and Explanation

The Correct Answer is C

A. "If I were you, I would go to a few therapy sessions to give them a try": This statement is not appropriate because it places the nurse's personal perspective onto the client, potentially pressuring them. It does not respect the client's autonomy in making their own decisions.

B. "One of my friends went to group therapy and they improved significantly": Sharing personal experiences can make the client feel uncomfortable and may not be relevant to their own situation. It can also create a sense of comparison, which is not helpful.

C. "You have the right to refuse to attend group therapy": This statement is respectful of the client's autonomy and acknowledges their right to make decisions about their care. It empowers the client and maintains their dignity while respecting their refusal.

D. "You should go to group therapy if you want to get better": This statement may feel coercive, as it implies that the client "should" attend therapy to improve. It might lead the client to feel guilty or pressured rather than supported in their choice.

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Correct Answer is ["B","C","E","F"]

Explanation

Rationale for correct choices:

Irritability: Irritability is a common symptom of posttraumatic stress disorder (PTSD), often resulting from the heightened arousal and anxiety that individuals with PTSD experience after trauma. This is frequently seen in clients who have undergone significant emotional distress.
Feelings of emptiness: A sense of emptiness or detachment is often associated with PTSD. This is related to the emotional numbness and avoidance that individuals may experience as a result of trauma, leading them to feel disconnected or emotionally "empty."
Sleep disturbance: Sleep problems, such as insomnia or nightmares, are hallmark symptoms of PTSD. Clients often struggle with restful sleep due to anxiety, hypervigilance, or intrusive thoughts related to the traumatic event.
Guilt: Guilt is a common emotion experienced by individuals with PTSD, especially following trauma such as sexual assault. Survivors may blame themselves for not preventing the event, which can contribute to their emotional distress and symptoms of PTSD.

Rationale for incorrect choices:

Hallucinations: Hallucinations are not typically associated with PTSD. While PTSD can cause intense emotional reactions, hallucinations are more commonly seen in conditions such as schizophrenia or severe substance intoxication, not in PTSD.
Echopraxia: Echopraxia, which involves mimicking another person's movements, is generally associated with conditions such as autism or certain neurological disorders, not PTSD.

A. High self-esteem B. Low socioeconomic status C. Genetic predisposition D. History of maternal infection during pregnancy

Correct Answer is C

Explanation

A. High self-esteem: High self-esteem is not a risk factor for alcohol use disorder. In fact, individuals with alcohol use disorder often struggle with low self-esteem and emotional distress.

B. Low socioeconomic status: While low socioeconomic status can be a risk factor for various mental health and substance use issues, it is not as directly linked to alcohol use disorder as other factors, such as genetics or environmental influences.

C. Genetic predisposition: Genetic predisposition is a significant risk factor for alcohol use disorder. Family history and genetic factors can influence the likelihood of developing alcohol use disorder, making it a key factor to include in the presentation.

D. History of maternal infection during pregnancy: While maternal infections during pregnancy can have various effects on fetal development, they are not directly linked to the development of alcohol use disorder.

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A nurse is caring for a client who refuses to attend group therapy. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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