The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

Sharing personal feelings openly with the client

Establishing boundaries for both the nurse and client

Offering sound advice to the client

Avoiding concern with whether the client likes the nurse

Maintaining a client focus at all times

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Sharing personal feelings openly with the client can blur the professional boundaries necessary for a therapeutic relationship and is not typically encouraged.

Choice B reason: Establishing boundaries is crucial in maintaining a professional and therapeutic relationship, ensuring that both the nurse and client understand the limits and expectations of their interactions.

Choice C reason: While offering advice can be part of the therapeutic process, it is more important for the nurse to guide clients in finding their own solutions rather than providing direct advice.

Choice D reason: A therapeutic relationship should be professional and not based on personal feelings. The nurse's concern should be on the client's well-being rather than being liked.

Choice E reason: Maintaining a client focus at all times ensures that the care provided is centered on the client's needs, which is essential in a therapeutic relationship.

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Correct Answer is B

Explanation

The correct answer is: "Tell me what is concerning you."

Choice A reason:

Asking "Did your husband say something to upset you?" may seem accusatory and could lead the spouse to feel defensive. It does not open a dialogue for the spouse to express their concerns freely and can be perceived as leading the conversation in a negative direction.

Choice B reason:

"Tell me what is concerning you." is an open-ended statement that invites the spouse to share their feelings and concerns. It demonstrates empathy and active listening, which are key components of therapeutic communication. This response encourages the spouse to elaborate on their feelings and fosters a supportive environment.

Choice C reason:

Saying "Your husband is making really good progress!" is reassuring, but it does not address the spouse's current emotional state or concerns. It may come across as dismissive of the spouse's feelings and does not encourage further discussion about their worries.

Choice D reason:

Asking "Did something bad happen to your husband?" can increase anxiety and assumes a negative event has occurred. It is not a therapeutic response because it does not provide comfort or support to the spouse in a stressful situation.

A. Physical health B. Mental health support C. Alcohol consumption D. Feelings of self-worth E. Family history F. Access to lethal means

Correct Answer is ["B","D","E","F"]

Explanation

Choice A reason: Physical health is a critical component of overall well-being and can affect mental health recovery.

Choice B reason: Mental health support, including therapy and support groups, is essential for managing depression and preventing relapse.

Choice C reason: Alcohol consumption can interfere with antidepressant efficacy and may worsen depression symptoms.

Choice D reason: Feelings of self-worth are often impacted in depression and can influence the client's motivation and engagement in treatment.

Choice E reason: Family history may provide insights into genetic predispositions and patterns that could affect the client's mental health.

Choice F reason: Access to lethal means is a significant risk factor for suicide and must be addressed in the safety planning for clients with depression.

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The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

Correct Answer is B

Explanation

Correct Answer is ["B","D","E","F"]

Explanation

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)

The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action. Which statement made by the client indicates that the teaching is effective?

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

The nurse provides education to a client's family about the client's eating disorder, anorexia nervosa. Which statement would indicate that the education was effective?

A patient presents with gastrointestinal (GI) symptoms. Which issue do these symptoms correlate with?

The nurse is educating a client and family about strategies to minimize the side effects of antipsychotic drugs. Which will be included in the plan? Select all that apply.

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?