A nurse is caring for a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?
"Tell me about what you are doing to reduce or cope with your stress."
"Have you tried to avoid the situations that are causing you so much stress?"
"I am trying to help you, but you haven't told me why you are overwhelmed yet."
"I would like to help you. Can you tell me more about what you are feeling?"
The Correct Answer is D
A. Asking about coping strategies may come across as advising or evaluating, rather than providing immediate therapeutic support.
B. Suggesting avoidance of stressors can be non-therapeutic, as it may imply judgment or oversimplify the client’s experience.
C. This response places blame on the client for not communicating, which is not therapeutic.
D. Expressing a desire to help while inviting the client to elaborate on their feelings demonstrates empathy, active listening, and validation. This approach encourages open communication and helps the client feel heard and supported, which are key components of a therapeutic response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Interrupting the client disrupts the flow of communication and conveys disinterest; active listening requires allowing the client to express thoughts fully.
B. Showing excessive emotion may distract from the client’s disclosure or make the client feel guilty; active listening emphasizes empathy without projecting personal feelings.
C. Maintaining appropriate eye contact is important; minimizing eye contact can signal disinterest or avoidance.
D. Avoiding looking at other clients helps the nurse focus attention entirely on the client, demonstrating respect and engagement, which are key components of active listening.
Correct Answer is ["B","D","E"]
Explanation
A. Blood pressure is a vital sign and is unrelated to schizophrenia symptoms.
B. Lack of motivation (avolition) is a negative symptom of schizophrenia, reflected in the client’s refusal to eat, drink, or participate in therapy.
C. Change in behavior is a general observation and may not specifically indicate negative symptoms.
D. Lack of energy (anergia) is a common negative symptom, demonstrated by slow movements and low activity levels.
E. Withdrawn behavior (social withdrawal or alogia) is another negative symptom, seen in the client’s avoidance of conversation and therapy sessions, as well as flattening of affect.
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