What should the nurse do to establish trust in a therapeutic relationship with the clients?
Control the pace of establishing the nurse-client relationships.
Focus on the words of the clients.
Provide sympathy during interactions.
Demonstrate genuineness when communicating.
The Correct Answer is D
Choice A reason:
Controlling the pace of establishing nurse-client relationships is important, but it does not directly contribute to building trust. Trust is built on consistency and predictability, which can be fostered by controlling the pace, but it is the authenticity and transparency in interactions that lay the foundation for trust.
Choice B reason:
Focusing on the words of the clients shows attentiveness and respect for what they are saying, which is a component of active listening. While this is an essential skill for nurses, it is the understanding and empathetic response to those words that will build trust, not just the focus on the words themselves.
Choice C reason:
Providing sympathy during interactions can be comforting to clients, but sympathy alone may not establish trust. Sympathy is feeling compassion for someone else's situation, whereas empathy involves understanding and sharing the feelings of another. Empathy leads to deeper connections and trust than sympathy alone.
Choice D reason:
Demonstrating genuineness when communicating is the most effective way to establish trust. Genuineness involves being open, honest, and authentic with clients. It means the nurse is true to themselves and to the clients, which helps to create a safe space where clients feel understood and valued, leading to trust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
The statement "You are feeling very depressed. I felt the same way when I decided to leave my husband" is non-therapeutic because it shifts the focus from the client to the nurse. This response demonstrates sympathy rather than empathy. Sympathy involves sharing one's own experiences and feelings, which can make the client feel unheard and invalidated. The nurse's role is to provide support and understanding without making the conversation about themselves.
Choice B Reason:
The statement "I can understand you are feeling depressed. It was a difficult decision. I'll sit with you" is more therapeutic. It acknowledges the client's feelings and offers support without shifting the focus to the nurse. This response shows empathy by validating the client's emotions and providing a comforting presence.
Choice C Reason:
The statement "You seem depressed. It was a difficult decision to make. Would you like to talk about it?" is therapeutic as it recognizes the client's feelings and invites them to express their thoughts and emotions. This approach encourages open communication and helps the client feel understood and supported.
Choice D Reason:
The statement "I know this is a difficult time for you. Would you like medication for anxiety?" is also therapeutic. It acknowledges the client's emotional state and offers a practical solution to help manage their anxiety. This response shows empathy and provides an option for addressing the client's immediate needs.
Correct Answer is D
Explanation
Choice A Reason:
The comment "I haven't gotten my period yet, and all my friends have theirs" reflects a common concern among adolescents regarding physical development and peer comparison. While this can cause anxiety, it is generally a normal part of adolescent development. The nurse can reassure the adolescent that the timing of puberty varies widely and that it is normal to develop at a different pace than peers.
Choice B Reason:
The concern about a pimple on the face, "There's a big pimple on my face, and I worry that everyone will notice it," is typical of adolescent worries about appearance and self-esteem. While it is important to address these concerns and provide support, it is not as urgent as addressing potential social isolation or mental health issues.
Choice C Reason:
The statement "My parents treat me like a baby sometimes" indicates a common struggle for independence among adolescents. This issue can be addressed through family counseling and communication strategies to help the adolescent and parents navigate this developmental stage. However, it does not indicate an immediate risk to the adolescent's well-being.
Choice D Reason:
The comment "None of the kids at this school like me, and I don't like them either" is the most concerning and should be the nurse's priority. This statement suggests social isolation and potential feelings of depression or low self-esteem. Social isolation can have significant negative impacts on an adolescent's mental health and development. It is crucial for the nurse to explore this further, provide support, and possibly refer the adolescent to a mental health professional.
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