The client stated, "I was so upset about my sister ignoring me when I was talking about being ashamed." Which nontherapeutic communication technique would the nurse be using if the nurse asked, "How are your stress reduction classes going?"
changing the subject
offering advice
disapproving
challenging
The Correct Answer is A
A. Changing the subject is correct because the nurse shifted the focus away from the client’s expressed feelings about being ignored to an unrelated topic (stress reduction classes).
B. Offering advice involves telling the client what to do, which did not occur here.
C. Disapproving would convey judgment about the client’s behavior or feelings, which is not present in this response.
D. Challenging means questioning or disputing the client’s feelings or perceptions, which also is not shown in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Defending is correct because the nurse justified the doctor’s behavior (“The doctors are very busy”), which minimizes the client’s concern instead of validating it.
B. Introducing an unrelated topic would shift the focus away completely, but here the nurse stayed on the same subject after defending.
C. Disagreeing would directly contradict the client’s statement, which did not occur.
D. Belittling would make the client’s feelings seem unimportant or trivial, but the nurse’s statement was more about defending the physician than belittling the client.
Correct Answer is B
Explanation
A. “Can you tell me about it?” encourages discussion but does not directly reflect empathy for the client’s feelings.
B. “Sounds like it has been a difficult time” is correct because it acknowledges the client’s struggle and validates feelings, showing empathy without judgment or assumption.
C. “I’m so sorry. No wonder you’re upset.” expresses sympathy rather than empathy and shifts focus slightly to the nurse’s feelings.
D. “You must be devastated.” assumes and labels the client’s feelings rather than letting the client describe their own emotions.
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