A nurse is interviewing a client who has a personality disorder. The nurse and client have agreed on an interview time, but the client resists discussing her feelings until 5 minutes prior to the end of the session and then asks for additional time. Which of the following actions should the nurse take?
Extend the scheduled time, as the client is finally able to discuss important feelings.
End at the scheduled time, telling the client that he can continue at the next scheduled session.
Arrange for another nurse to continue the interview.
Set an extra meeting time to discuss the client's feelings.
The Correct Answer is B
Choice A reason: Extending the scheduled time could reinforce the client's resistance to discussing feelings until the end of the session, which is not therapeutic.
Choice B reason: Ending at the scheduled time maintains boundaries and structure, which are important in the therapeutic relationship, especially with clients who have personality disorders.
Choice C reason: Arranging for another nurse to continue the interview may disrupt the continuity of care and the therapeutic relationship.
Choice D reason: Setting an extra meeting time could be considered if the client's needs are urgent, but it is not the best option in this scenario as it may reinforce avoidance behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Effective coping skills do not involve working on a problem to the point of exhaustion; this can lead to burnout and is not a sustainable strategy.
Choice B reason: Healthy coping involves making choices that are beneficial and tailored to the individual's needs, promoting well-being and stress management.
Choice C reason: Simply imitating others' coping behaviors may not be effective, as coping strategies should be personalized and fit the individual's unique situation.
Choice D reason: Overuse of defense mechanisms can be counterproductive and is not considered an effective coping skill.
Correct Answer is B
Explanation
Choice A reason: Cool, dry skin is not typically associated with a panic attack, which often involves symptoms like sweating due to the fight-or-flight response.
Choice B reason: Chest pain is a common symptom of panic attacks, often leading individuals to believe they are having a heart attack.
Choice C reason: Pallor, or paleness, may occur during a panic attack, but it is not as common as other symptoms like chest pain.
Choice D reason: Bradycardia, or slow heart rate, is not characteristic of a panic attack; tachycardia, or fast heart rate, is more common.
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