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?"

Answer and Explanation

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.

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Correct Answer is ["A","B","D","E"]

Explanation

These are all indicators of mental health. Perception of reality refers to the ability to accurately perceive and interpret the world around us. Love and belonging refer to the need for social connections and relationships. Positive self-thought refers to having a positive self-image and self-esteem. Environmental mastery refers to the ability to eﬀectively navigate and control one’s environment. Dependency is not an indicator of mental health.

A. Behavior therapy B. Milieu therapy C. Dialectical behavioral therapy D. Cognitive therapy

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are included in Johada’s indicators of mental health? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

Which therapy focuses on the development of emotion modulation skills and distress tolerance?

Correct Answer is C

Explanation

A nurse manager is providing staﬀ education about working with a client with a history of anger and aggression. Which of the following information should the nurse manager include in the teaching? (Select all that apply).

The client expresses the loneliness she feels to the nurse. Which response by the nurse demonstrates the existence of a therapeutic relationship?

The primary reason a client should be included in their treatment plan, if possible, would be for which of the following purposes?

The nurse assists the physician with electroconvulsive therapy on a client who has refused to give consent, what possible action may this cause the nurse to be charged with?

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

A client was involuntarily admitted to a behavioral health facility after trying to harm himself. Which statement by the client would indicate further education is needed regarding his rights?

What situation would qualify for an involuntary mental health admission?

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