A PMHNP is firm in his Christian beliefs. He has a new client who is an atheist. Which of the following concepts is necessary to ensure the PMHNP can develop a strong therapeutic relationship with this client?
Taking copious notes
Asking preset questions to guide the discussion
Nonjudgment
Explain to the client how his personal views will not affect his ability to provide good counsel
The Correct Answer is C
Choice A reason: Taking detailed notes may help with documentation but does not directly foster a therapeutic alliance. It does not address the interpersonal dynamics or belief differences between the clinician and client.
Choice B reason: Asking preset questions may help structure the interview but can feel impersonal or rigid. It does not ensure respect for the client’s worldview or promote emotional safety.
Choice C reason: Nonjudgment is essential in therapeutic relationships, especially when personal beliefs differ. It allows the clinician to accept the client’s values and experiences without imposing their own. This fosters trust, openness, and psychological safety.
Choice D reason: While explaining that personal views won’t interfere may seem reassuring, it can come across as defensive or dismissive. Actions demonstrating nonjudgment and respect are more effective than verbal assurances alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: DBT aims to improve emotional regulation and interpersonal effectiveness, which includes enhancing accurate communication of emotions and competencies. Decreasing such communication is contrary to DBT goals.
Choice B reason: Self-invalidation is a maladaptive behavior often seen in BPD. DBT works to reduce self-invalidation and promote self-acceptance and validation.
Choice C reason: A core goal of DBT is to decrease emotional reactivity by teaching mindfulness, distress tolerance, and emotion regulation skills. This helps clients respond to emotional triggers more adaptively.
Choice D reason: DBT seeks to reduce crisis-generating behaviors such as self-harm and impulsivity. Increasing such behaviors would be counterproductive and is not a therapeutic goal.
Correct Answer is C
Explanation
Choice A reason: Coping questions focus on how the client has managed difficulties in the past or present. They aim to identify strengths and resilience, not hypothetical resolutions.
Choice B reason: Exception questions explore times when the problem did not occur or was less severe. They help identify patterns and solutions but do not involve imagining a complete resolution.
Choice C reason: Miracle questions are a hallmark of solution-focused therapy. They invite clients to envision a future without their current problems, helping to clarify goals and desired outcomes. This is the correct classification of the therapist’s question.
Choice D reason: Scaling questions ask clients to rate their experiences or progress on a numerical scale. They are used to assess intensity or change, not to imagine problem resolution.
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