A nurse is leading a group family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?

"Please do not raise your voice at the children. I am the one who left dishes in the sink."

"Can you tell me the reason you get upset each time I go to the mall?"

"If you keep saying that, I will tell everyone what you did last night."

"She is always bossing me around. Should she do that?"

Answer and Explanation

The Correct Answer is B

Choice A Reason:
This statement reflects an attempt to de-escalate a potential conflict by taking responsibility for an action that may have caused distress. However, it does not directly invite dialogue or understanding between family members. Effective communication in family therapy aims to foster open and empathetic dialogue, where members feel heard and understood.

Choice B Reason:
Asking for clarification on emotions connected to specific events is a hallmark of effective communication. This statement opens the door for the family member to share their feelings and for others to understand the perspective behind the emotions. It encourages a non-confrontational exchange of thoughts and feelings, which is essential in family therapy to promote healing and understanding.

Choice C Reason:
This statement is an example of a threat, which can lead to increased tension and conflict within the family. It is counterproductive to the goals of family therapy, which include improving communication and resolving conflicts in a constructive manner. Effective communication should be free of coercion and intimidation.

Choice D Reason:
While this statement may reflect a feeling or concern within the family dynamic, it is framed as an accusation rather than an invitation to discuss the behavior or its impact. Effective communication involves expressing one's own feelings and needs without making judgments about others' actions.

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Correct Answer is C

Explanation

Choice A Reason:
An interprofessional team can lead to a decrease in the number of referrals needed for the client because multiple health care providers from different specialties are working collaboratively. This team approach can address various aspects of a client's care simultaneously, reducing the need for external consultations.

Choice B Reason:
While an interprofessional team may streamline care, it does not necessarily decrease the number of visits to the client by staff. Each professional has a role that requires direct interaction with the client, and the frequency of these visits depends on the client's needs and the care plan.

Choice C Reason:
Efficiency in client care services is a key benefit of an interprofessional team. By working together, team members can coordinate care, share information quickly, and make decisions more effectively, leading to better client outcomes and a more efficient use of resources.

Choice D Reason:
An increase in length of stay is not a benefit of an interprofessional team. In fact, effective interprofessional collaboration can lead to a decrease in length of stay by optimizing care, preventing complications, and facilitating timely interventions.

A. Talk to the client and identify the specific limits that are required of the client's behavior. B. Discuss the problem in a community meeting with the other clients on the unit present. C. Escort the client to her room each time the nurse observes the client socializing with other clients. D. Tell the other clients to ignore the client's lies.

Correct Answer is A

Explanation

Choice A reason:
Talking directly to the client and setting clear boundaries is a therapeutic approach. It respects the client's autonomy while also addressing the behavior that is affecting the therapeutic environment. By identifying specific limits, the nurse helps the client understand the consequences of their actions and the importance of maintaining a respectful and honest communication with others.

Choice B reason:
Discussing the problem in a community meeting could be helpful, but it should not be the initial action. This approach might inadvertently shame or embarrass the client in front of peers, which could exacerbate the situation. It's important to address the behavior privately before involving the larger group.

Choice C reason:
Escorting the client to their room each time they socialize could be seen as punitive and may not address the underlying reasons for the lying behavior. It could also isolate the client from social interactions that are an essential part of the healing process.

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A nurse is leading a group family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is providing an in-service to a group of nurses about the benefits of an interprofessional team. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?

Correct Answer is A

Explanation

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)

A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy?

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

A nurse working in a mental health facility is utilizing milieu therapy to provide a therapeutic environment for their clients. Which of the following steps of the nursing process is the nurse demonstrating?

A nurse is caring for a group of clients on a mental health unit. Which of the following actions should the nurse implement to establish therapeutic relationships with the clients?

While in a therapeutic group, two clients get into a heated debate over politics that turns aggressive. The nurse makes the decision to have both patients removed from the group session. The nurse has demonstrated which leadership style?

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. The findings include blood pressure changes, fever, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?