The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

"You will feel beter tomorrow."

"I'll sit here with you for a while."

"I am sorry you feel sad."

"Would you like to talk?"

Answer and Explanation

The Correct Answer is A

Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.

Choice B reason: This choice is appropriate as it oﬀers support and presence, which can facilitate communication.

Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.

Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.

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Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. Requesting quiet to sleep does not necessarily support a diagnosis of a manic episode.
Choice B reason: This choice is incorrect. Feeling tired and wanting to rest is not indicative of a manic episode, which is typically characterized by increased energy and activity.
Choice C reason: This is the correct choice. The statement about the purple hat and zebra-striped pants suggests a lack of awareness of social norms and possibly grandiosity or ﬂamboyance, which can be indicative of a manic episode.
Choice D reason: This choice is incorrect. Concern about appearance does not specifically support a diagnosis of a manic episode.

A. Asking questions easily answered with one-word responses is important with mental health clients. B. Invite the client's family to atend all group therapies with the client. C. Listen atentively to a client and summarize the comments. D. Avoid asking direct questions regarding suicidal behaviors or thoughts.

Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. Asking questions that can be answered with one-word responses does not facilitate a deep therapeutic relationship.
Choice B reason: While involving the family can be beneficial, it is not a direct strategy for the nurse-client relationship.
Choice C reason: This is the correct choice. Active listening and summarizing are key components of building a therapeutic relationship, as they demonstrate understanding and validation of the client's feelings and thoughts.
Choice D reason: It is important to ask about suicidal behaviors or thoughts when there are indications of such risks; avoiding these questions can be detrimental to client care.

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The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who suﬀers from bipolar disorder is admited to a mental health unit for a manic episode. Which statement by the client supports this diagnosis?

Correct Answer is C

Explanation

A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?

Correct Answer is C

Explanation

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