An adult male client is admitted to a mental health facility with the diagnosis of depression following the end of a long-term engagement.

He states that he couldn’t “commit to marriage.”. During his admission assessment, the nurse learns that he did not feel guided, nurtured, or accepted by his parents during his childhood.

One of the goals for this client is to help him develop a positive personal identity.

Which intervention should the nurse implement to meet this goal?

Develop the ability to establish and maintain an intimate relationship.

Improve his strength in the ability to adapt to new situations.

Outline his life’s dream.

Discern his feelings about relationship choices and level of commitment.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Developing the ability to establish and maintain an intimate relationship is an important aspect of personal growth. However, it might not directly help the client develop a positive personal identity.
Choice B rationale
Improving his strength in the ability to adapt to new situations can enhance the client’s coping skills. However, it might not directly help the client develop a positive personal identity.
Choice C rationale
Outlining his life’s dream can provide direction and purpose to the client’s life. However, it might not directly help the client develop a positive personal identity.
Choice D rationale
Discerning his feelings about relationship choices and level of commitment can help the client understand his own values and beliefs. This self-understanding is crucial for developing a positive personal identity.

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Correct Answer is B

Explanation

Choice B rationale:
A therapeutic relationship in nursing focuses primarily on the client's needs, thoughts, feelings, and goals. This type of relationship is centered around helping the client achieve their desired outcomes by providing support, care, and guidance.
Choice A rationale:
While the nurse plays an essential role in the therapeutic relationship, the primary focus is not on the nurse's needs or experiences.
Choice C rationale:
The plan of care is an important aspect of nursing, but it does not define the primary focus of a therapeutic relationship.
Choice D rationale:
Establishing a friendship is not the focus of a therapeutic relationship. Maintaining professional boundaries is crucial to ensure that the therapeutic relationship remains effective.

A. Compromise B. Participate C. Educate D. Collaborate

Correct Answer is D

Explanation

Choice A rationale
While compromise can be a part of a therapeutic environment, it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice B rationale
Participation can be a part of a therapeutic environment, but it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice C rationale
Education can be a part of a therapeutic environment, but it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice D rationale
Collaboration is a key goal of a therapeutic environment. This involves working together with the patient to facilitate their healing and recovery.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

Correct Answer is B

Explanation

What is a goal of a therapeutic environment?

Correct Answer is D

Explanation

A teenager begins to examine his own emotions, values, and behaviors to define himself as an individual. This process is called:

In which phase of the therapeutic relationship is the establishment of a working caregiver-client agreement a step?

Children with disruptive behavioral disorders, such as conduct disorder and oppositional defiant disorder, will benefit most from parents’ implementation of early interventions with consistent what?

A female client inquires about the number of children the nurse has. The nurse responds and then asks the client the same querry Which concept does this scenario exemplify?

Which statement is the best example of an empathetic response, an effective tool in establishing rapport?

In which of the following examples should mental health assistance be immediately sought?

An anxious client is prescribed an antianxiety medication. The client states that he will take his medication with a can of beer. The nurse states that the client needs more information about his medication for safe use. This is an example of which therapeutic communication technique?

The nurse is providing care for a client who has been involuntarily admitted for psychiatric treatment. What information about involuntary commitment should the nurse share with the client’s family?