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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This response directly addresses the potential for self-harm, which is a critical concern when a client expresses hopelessness. It is an open-ended question that invites the client to discuss their feelings and provides the nurse with information to assess the client's safety.
B. Asking the client a why question may not be alright and this may make them to be guarded.
C. This response may come off as dismissive and lacks empathy towards the client's feelings.
D. Suggesting medication without further assessment is premature and may not address the root cause of the client's statement.

A. Displacement B. Compensation C. Denial D. Rationalization

Correct Answer is A

Explanation

A. Displacement involves redirecting emotions or behaviors from the original source to a less threatening or more accessible target. In this scenario, the client is redirecting his anger from his partner to the nurse, who is perceived as a safer target.
B. Compensation involves overachieving in one area to compensate for deficiencies in another area and is not demonstrated in this scenario.
C. Denial involves refusing to acknowledge the existence of a real situation or the feelings associated with it, which is not evident in the client's behavior.
D. Rationalization involves creating logical or socially acceptable explanations for behaviors or feelings that are unacceptable, which is not demonstrated in the client's behavior in this scenario.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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