The nurse working with a teen, who has a history of being moody and withdrawn, will make the establishment of a therapeutic alliance a priority because:
the client should express feelings and not keep them inside.
therapeutic activities provide an outlet for tension.
acceptance and trust convey feelings of security to the client.
focusing on the behaviors of an individual increases the person's self-esteem
The Correct Answer is C
C. Acceptance and trust create a sense of safety and security for the client within the therapeutic relationship. When the client feels accepted and valued by the nurse, they are more likely to feel comfortable opening up and engaging in the therapeutic process.
A. Establishing a therapeutic alliance provides a safe and supportive environment for the client to express their feelings without fear of judgment or rejection. However, therapeutic alliance goes beyond this.
B. Therapeutic activities can indeed provide an outlet for tension and stress but the establishment of a therapeutic alliance goes beyond engaging in specific activities.
D. Focusing on positive behaviors and strengths can contribute to building self-esteem. However, the establishment of a therapeutic alliance involves more than just focusing on behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Individuals with borderline personality disorder may exhibit behavior that generates conflict among staff members or within their interpersonal relationships. They may have difficulty regulating emotions, experience intense mood swings, and engage in impulsive or manipulative behaviors that contribute to conflicts with others.
A. Individuals with borderline personality disorder often struggle with interpersonal relationships and may have difficulty maintaining stable and healthy connections with others.
C. Suspiciousness of others is not a primary characteristic of borderline personality disorder.
D. Bizarre speech patterns are not typically associated with borderline personality disorder.
Correct Answer is D
Explanation
D. Furosemide is a diuretic that works by increasing urine output, which in turn reduces fluid retention and swelling. By tracking the client's weight on a daily basis, the nurse can obtain a clear and consistent measure of how much fluid is being lost as a result of the medication.
A. Monitoring respiratory status but it may not be the most direct method for evaluating the effectiveness of furosemide in reducing peripheral edema.
B. Monitoring serum protein levels may provide information about the client's nutritional status and liver function, but it is not typically used as a direct measure of response to furosemide for peripheral edema.
C. Improvement in peripheral pulses may indicate a reduction in fluid overload and resolution of edema. However, changes in peripheral pulses may be influenced by factors other than diuresis, such as vascular disease or cardiac function.
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