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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: The orientation phase is the initial stage of the therapeutic relationship where the client and therapist establish rapport, clarify roles, and set goals. It is typically marked by anxiety and uncertainty, but not regression or symptom reemergence. The client is just beginning to engage and is unlikely to show deep psychological shifts at this point.

Choice B reason: The termination phase involves ending the therapeutic relationship. While it may evoke emotional responses such as sadness or anxiety, it is not typically associated with regression or the reemergence of symptoms. Instead, it focuses on consolidating gains and planning for future coping strategies.

Choice C reason: The working phase is where the core therapeutic work occurs. This phase involves exploring painful emotions, unresolved conflicts, and maladaptive behaviors. It is common for clients to regress or experience a resurgence of symptoms during this phase as they confront difficult material. This regression is often a sign of progress, indicating that the client is engaging deeply with the therapeutic process.

Choice D reason: Identification is a subcomponent of the working phase in Peplau’s theory, where the client begins to respond selectively to those who can meet their needs. While it is part of the therapeutic process, it is not the primary phase associated with regression or symptom reemergence. The broader working phase encompasses these dynamics more fully.

A. Would you tell me more about how alcohol feels like fuel added to the fire? B. It sounds as if you have thought a lot about how alcohol might be contributing to your increasing anxiety issues. I can tell this is very important to you. C. Here is what I've heard so far. Relaxing and calming down is your main reason for drinking, but you are finding that the more you drink, the more anxious you are in the end. Rather than the alcohol putting out the fire, you are beginning to think it’s like adding fuel to it. D. So the alcohol used to help ease your anxiety, but now it actually causes anxiety.

Correct Answer is C

Explanation

Choice A reason: This is an open-ended question that invites further discussion. It is exploratory, not summarizing.

Choice B reason: This is a reflective statement that validates the client’s insight and emotional experience. It is supportive but not a summary of the client’s narrative.

Choice C reason: This is a clear summarizing statement. It encapsulates the client’s motivations, experiences, and evolving understanding of alcohol’s impact. It reflects back the client’s narrative in a structured and comprehensive way.

Choice D reason: This is a brief reflection that captures part of the client’s experience. However, it lacks the depth and structure of a full summary.

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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?

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Naxlex Comprehensive Predictor Exams

In which phase of the therapeutic relationship would the client be expected to regress and perhaps experience reemergence of symptoms or problems?

Correct Answer is C

Explanation

The PMHNP is discussing a 33-year-old male client's alcohol use disorder and his reasons for possibly wanting to change. Which of the following statements by the PMHNP would be considered summarizing?

Correct Answer is C

Explanation

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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?

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