A nurse is caring for a client who states, "I am too embarrassed to tell anyone what I did last night.”. Which of the following responses should the nurse make?
"Lots of people feel ashamed to tell their secrets.”.
"You will feel better if you tell me what you did last night.”.
"Let's discuss what you feel embarrassed about.”.
"You shouldn't feel embarrassed to talk to me.”.
The Correct Answer is C
Choice A rationale:
The response, "Lots of people feel ashamed to tell their secrets," is not the most therapeutic option because it does not directly address the client's need to discuss their feelings or concerns. It does offer some empathy but falls short in terms of encouraging communication and understanding.
Choice B rationale:
The response, "You will feel better if you tell me what you did last night," may come across as too direct and pressuring, which can be counterproductive in building trust with the client. It may make the client feel even more embarrassed or uncomfortable.
Choice D rationale:
The response, "You shouldn't feel embarrassed to talk to me," attempts to reassure the client but may invalidate their feelings and is not as therapeutic as the correct choice. It's important to acknowledge the client's emotions and provide them with a safe space to open up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Offering prophylactic medication to prevent STIs is an important intervention in cases of sexual assault; however, it is not the next immediate step. The priority at this stage is to ensure the client's safety and emotional support.
Choice B rationale:
Providing a trained advocate to stay with the client is the most appropriate and immediate action. This helps ensure the client's emotional well-being and provides support during a traumatic experience. Advocates can also help the client navigate the healthcare system and legal processes.
Choice C rationale:
Conducting a pregnancy test is important, but it is not the next immediate step. Safety and emotional support should be the priority.
Choice D rationale:
Requesting a mental health consultation for the client is important, but it should not be the next immediate action. Safety and support should come first.
Correct Answer is C
Explanation
Choice A rationale:
"I'm struggling with altered motor function.”. This statement is more in line with a description of conversion disorder or functional neurological symptom disorder, where clients may experience symptoms like paralysis or altered motor function, but these symptoms are typically not intentionally produced for attention-seeking purposes.
Choice B rationale:
"I don't know why I'm feeling this way.”. This statement does not specifically indicate a deliberate intent to falsify psychological symptoms for attention. It could be related to other emotional or psychological issues, but it doesn't directly relate to the behavior described in the question.
Choice D rationale:
"I'm worried about having a serious illness.”. This statement reflects concerns about actual medical conditions and does not align with the behavior of repeatedly falsifying psychological symptoms for attention. People with factitious disorder may feign physical symptoms but not necessarily express concerns about having a serious illness themselves. Now, let's address the last question.
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