A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
"Why do you think that he said that to you?"
"You sound upset about today's session."
"I think you should ignore the comment."
"I agree that the comment was inappropriate."
The Correct Answer is B
A. This response may inadvertently blame the client or imply that they provoked the inappropriate comment, which can be invalidating.
B. Validating the client's feelings acknowledges their experience and provides support.
C. Encouraging the client to ignore the comment may minimize their feelings and the impact of the inappropriate behavior.
D. Agreeing that the comment was inappropriate is validating, but it does not address the client's emotional response or provide support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This response acknowledges the client's feelings and validates their experience without confirming or denying the delusion.
B. This response challenges the client's belief and may cause distress or exacerbate paranoia.
C. While factually correct, this response may not address the client's underlying concerns or feelings.
D. This response may invalidate the client's experience and may not effectively address the delusional belief.
Correct Answer is D
Explanation
A. While anger is a common emotion in grief, the priority is addressing the client's inability to eat, which can have significant health implications.
B. Recalling negative experiences during the marriage may indicate unresolved issues but is not as immediately concerning as the client's inability to eat.
C. Feelings of guilt are common in grief, but the priority is addressing the client's physical health needs, particularly their inability to eat.
D. Changes in eating habits, such as being unable to eat more than once a day, can indicate maladaptive coping mechanisms or potential physical health concerns, making it the priority for the nurse to address.
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