The client states, "I was so upset about my sister ignoring my pain when I broke my leg." The nurse asks, "When are you going to your next diabetes education program?" This is a nontherapeutic response because the nurse has:
used testing to evaluate the client's insight.
changed the topic.
advised the client what to do.
exhibited an egocentric focus.
The Correct Answer is B
A. Using testing would involve quizzing the client to check knowledge or insight, which is not shown here.
B. Changed the topic is correct because the nurse shifted the conversation away from the client’s expressed feelings about being ignored to an unrelated subject (diabetes education).
C. Advised the client what to do would involve giving direction or suggestions, which did not occur.
D. Exhibited an egocentric focus would mean the nurse redirected the conversation to themselves, which is not the case here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The nurse must not promise to keep information about hopelessness or potential suicidal thoughts secret because safety concerns override confidentiality; the nurse should explain this and immediately assess for suicidal ideation and take appropriate protective actions.
B. Promising not to tell anyone maintains secrecy and prevents the nurse from ensuring the client's safety.
C. Asking “What can we do to help you feel better?” is therapeutic but skips the necessary clarification about confidentiality and an immediate suicide risk assessment.
D. Changing the subject to “cheer you up” minimizes the client's feelings and is nontherapeutic.
Correct Answer is B
Explanation
A. Beliefs are convictions that something is true, often without requiring proof, but they do not necessarily form a personal code of conduct.
B. Values are correct because they are abstract standards that guide behavior, decision-making, and provide a personal code of conduct.
C. Personal philosophy is a broader worldview or life perspective, not specifically a code of conduct.
D. Attitudes are emotional feelings or mental positions toward people, objects, or situations, but they are not the same as values.
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