A nurse is establishing a therapeutic relationship with a newly admitted client. Which action should the nurse take to demonstrate appropriate use of therapeutic boundaries?
Prioritize the client’s needs over the nurse’s own
Accept gifts of significant value from the client
Use personal beliefs to guide the client’s choices
Give advice to help the client make decisions
The Correct Answer is A
Choice A reason: Prioritizing the client’s needs while maintaining professional boundaries is essential in establishing a therapeutic relationship. It ensures care is client-centered and prevents boundary violations.
Choice B reason: Accepting gifts of significant value can create conflicts of interest and blur professional boundaries. This is not appropriate in therapeutic relationships.
Choice C reason: Using personal beliefs to guide client decisions is unprofessional and violates autonomy. The nurse’s role is to provide information and support client decision-making.
Choice D reason: Giving advice may undermine client autonomy and independence. The nurse should guide and educate rather than make decisions for the client.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Suggesting decoration minimizes the client’s emotional experience and does not address the underlying feelings of frustration or loss of independence.
Choice B reason: While acknowledging mobility, this statement minimizes the client’s emotional response and may come across as dismissive.
Choice C reason: Telling the client they will “get used to it” is dismissive and does not explore their feelings, making it non-therapeutic.
Choice D reason: Validating the client’s emotions and encouraging them to express their feelings demonstrates therapeutic communication, builds trust, and allows the nurse to provide emotional support and coping strategies.
Correct Answer is B
Explanation
Choice A reason: Supportive questions provide understanding and empathy, which is opposite of the effect described in the stem.
Choice B reason: Asking “Why did you stop taking your medication?” can imply blame or criticism, which may make the client feel defensive and reduce open communication.
Choice C reason: Neutral questions do not provoke defensiveness; this question has a tone that can be interpreted as judgmental.
Choice D reason: While confusing questions may frustrate clients, the main concern here is the perceived judgment and resulting defensiveness.
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