The nurse asks the client "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for some time. What actions by the nurse is the most therapeutic?
Sit quietly until the client responds
Tell the client they must express the unpleasant feelings
Apologize for asking such a personal question
Change the subject to something the client will discuss
The Correct Answer is A
A. Sit quietly until the client responds: Correct. This allows the client time to process their thoughts and respond at their own pace, showing respect and patience.
B. Tell the client they must express the unpleasant feelings: Incorrect. This directive approach can be intrusive and may pressure the client.
C. Apologize for asking such a personal question: Incorrect. Apologizing might imply that the question was inappropriate, which can shut down communication.
D. Change the subject to something the client will discuss: Incorrect. Changing the subject can convey a lack of interest or avoidance of the client's true feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Shorter and more frequent hospital stays for persons with severe and persistent mental illness. The "revolving door effect" in mental health care refers to the pattern of individuals with severe and persistent mental illness being repeatedly admitted and discharged from hospitals due to inadequate community-based support systems. This cycle often leads to poorer outcomes for patients, increased costs, and challenges in providing effective care
B. Flexible treatment settings for mentally ill is not accurate as it implies a positive approach to care, which is opposite to the revolving door effect.
C. Most effective and least expensive treatment settings is also incorrect as the revolving door effect is generally associated with higher costs and less effective care.
D. An overall reduction in incidence of severe mental illness: This is the opposite of the "revolving door effect," which implies ongoing issues with severe mental illness management.
Correct Answer is A
Explanation
A. The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member: Correct. The student nurse has a duty to report any threats of harm to others.
B. The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff: This approach is dishonest and unethical.
C. The student must respect the client's privacy and not tell anyone: The nurse has a duty to report threats to safety.
D. The student nurse must tell the instructor and then ask the instructor to keep it a secret: The instructor also has a duty to report threats to safety.
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