A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

"Your mother will be fine, you shouldn't work so much."

“So, it seems that you feel responsible for what happened to your mother”

"Why do you blame yourself? You could not have prevented the stroke”

“You are not responsible for your mothers’ stroke but many people in your situation feel this way”

Answer and Explanation

The Correct Answer is B

Choice A Reason:

This response is dismissive and invalidates the son's feelings of guilt. It does not acknowledge or address his emotional distress. Providing false reassurance and shifting focus to work is not therapeutic.

Choice B Reason:

This response reflects therapeutic communication. It validates the son’s feelings by acknowledging his guilt and encourages him to express his emotions. Reflective listening allows the nurse to build trust and support the son in processing his emotions.

Choice C Reason:

Asking "Why" can feel accusatory or judgmental, making the son defensive. While the statement attempts to provide reassurance, it fails to address his emotional state and may shut down further communication.

Choice D Reason:

Although this response provides some reassurance and normalization, it minimizes the son's emotions by focusing on generalizations. It lacks the reflective quality necessary for therapeutic communication in this situation.

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Correct Answer is B

Explanation

Choice A Reason:

"How many in the group feel that Jack is ready to be discharged?” This response focuses on the group's opinion rather than addressing Jack's concerns directly. It may not provide the emotional support Jack needs.

Choice B Reason:

"Maybe others in the group have similar feelings.” This response acknowledges Jack's concerns, normalizes his feelings by suggesting that others might share similar concerns, and creates an opportunity for group members to express their thoughts and provide support. It fosters an open and empathetic group dynamic.

Choice C Reason:

"Jack, you ought to be happy that you are leaving." This response is dismissive of Jack's feelings and may invalidate his concerns. It lacks empathy and may hinder open communication.

Choice D Reason:

“Jack maybe you're not ready to be discharged.” While this response acknowledges Jack's fears, it assumes he is not ready without exploring his specific concerns. It might not encourage a constructive discussion about his readiness for discharge.

A. Engage in friendly interactions with the client. B. Instruct the client on how he should behave C. Set limits for the relationship D. Promote the use of transference by the client

Correct Answer is A

Explanation

Choice A Reason:

Engaging in friendly interactions with the client is correct. Developing a therapeutic relationship involves creating a supportive and empathetic connection with the client. Engaging in friendly interactions helps build trust and rapport. This approach fosters a positive environment for communication and collaboration.

Choice B Reason:

Instructing the client on how he should behave is incorrect. Instructing the client on how to behave can be perceived as directive and may hinder the development of a collaborative and trusting relationship.

Choice C Reason:

Setting limits for the relationship is incorrect. While setting boundaries is important, using the term "limits" can convey a sense of restriction. It's crucial to establish appropriate boundaries, but the term "limits" may not promote the openness needed in a therapeutic relationship.

Choice D Reason:

Promoting the use of transference by the client is incorrect. Promoting transference involves encouraging the client to project feelings from past relationships onto the nurse. This is generally not considered a therapeutic approach and may lead to misunderstandings in the therapeutic relationship.

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A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a group meeting Jack, a patient, shares his fears around his impending discharge. The most appropriate response for the group leader would be?

Correct Answer is B

Explanation

A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?

A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)

Which activity would happen first in the nurse-patient relationship?

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states. "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make?

A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply)

One of the goals of a therapeutic community is for patients to become more autonomous and accept self-responsibility. Which option below best encourages fulfillment of this goal?

Which intervention would the nurse suggest to a patient seeking advice regarding stress management? Select all that apply.

Which of the following is not a nursing role according to Peplau?