A nurse is working with a client who used a condescending tone of voice in the conversation. Which response by the nurse is most therapeutic?
"I feel angry when I hear that tone of voice."
“You make me so angry when you talk to me that way.'
“Are you trying to make me angry?"
“Why do you use that condescending tone of voice with me?"
The Correct Answer is D
This response is open-ended and non-judgmental, allowing the client to reflect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.
Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.
Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.
Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
DBT is a type of psychotherapy that was originally developed to treat individuals with borderline personality disorder (BPD) but has since been used to treat a variety of mental health conditions. One of the core components of DBT is teaching clients skills to manage intense emotions and tolerate distressing situations.
These skills include mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. By learning and practicing these skills, individuals can better manage their emotions and cope with difficult situations without resorting to harmful behaviors.
Behavior therapy is a type of therapy that focuses on modifying behavior through reinforcement and conditioning techniques. Milieu therapy involves using the environment to promote positive behavior and social interaction. Cognitive therapy focuses on identifying and changing negative thought patterns. While these therapies may address emotions and distress, they do not have the same specific focus on emotion modulation and distress tolerance as DBT.
Correct Answer is C
Explanation
Sigmund Freud was an Austrian neurologist who developed psychoanalytic theory and therapy in the late 19th and early 20th centuries. He believed that unconscious thoughts, feelings, and experiences from childhood could influence behavior and mental health in adulthood. Psychoanalytic therapy is a type of talk therapy that aims to bring these unconscious thoughts and experiences to the surface, in order to help patients gain insight into their behavior and mental health.
Defence mechanisms are psychological strategies that individuals use unconsciously to protect themselves from anxiety and emotional pain. Freud identified several defense mechanisms, including repression, denial, projection, and displacement. Psychoanalytic therapy is designed to help patients identify and understand these defense mechanisms, in order to develop healthier coping strategies.
Dorothea Dix was a social reformer who advocated for the humane treatment of the mentally ill. Erick Erickson was a developmental psychologist who developed a theory of psychosocial development.
Hildegard Peplau was a nurse theorist who developed a theory of interpersonal relationships in nursing. None of these individuals were associated with the development of psychoanalytic therapy.
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