When providing care to a client diagnosed with a mental disorder, the client asks the nurse, “Does mental illness run in your family?” Which response by the nurse would be nontherapeutic?

“Mental illnesses do run in families, and I’ve had a lot of experience caring for people with mental illness.”

“Mental illness can be family related. Let’s focus the discussion on you and how you’re doing today.”

“It sounds like you are concerned that there may be a family connection to your current problem.”

“Yes, it does. I have a sister who was diagnosed several years ago with severe major depression.”

Answer and Explanation

The Correct Answer is D

Choice A reason:
This response provides general information about the hereditary nature of mental illnesses and reassures the client of the nurse’s experience. It maintains a professional boundary and does not disclose personal information, making it a therapeutic response.

Choice B reason:
This response acknowledges the client’s concern about the hereditary nature of mental illness and redirects the focus back to the client’s current situation. It is a therapeutic response that maintains professional boundaries and keeps the conversation client-centered.

Choice C reason:
This response validates the client’s concern and encourages further discussion about their feelings and experiences. It is a therapeutic response that promotes open communication and understanding.

Choice D reason:
Disclosing personal information about the nurse’s family can blur professional boundaries and shift the focus away from the client. It is considered nontherapeutic because it may make the client feel uncomfortable or distract from their own issues.

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Correct Answer is C

Explanation

Choice A reason:
Regression involves reverting to an earlier stage of development in response to stress. This defense mechanism is not indicated by Jake’s inability to recall specific details about his mother’s death.
Choice B reason:
Projection involves attributing one’s own unacceptable thoughts, feelings, or flaws to others. This defense mechanism does not explain Jake’s inability to remember details about his mother’s death.
Choice C reason:
Repression is a defense mechanism where distressing memories, thoughts, or feelings are unconsciously pushed out of conscious awareness. Jake’s inability to recall how old he was or the year his mother died suggests that he may be repressing these painful memories.
Choice D reason:
Suppression is a conscious effort to push distressing thoughts or feelings out of awareness. Since Jake is unable to recall specific details, it is more likely that repression, an unconscious process, is at play.

A. Respite residential care B. Acute inpatient care C. Intensive outpatient program D. Partial hospitalization

Correct Answer is A

Explanation

Choice A reason:
Respite residential care provides temporary relief for caregivers by offering short-term care for individuals with chronic conditions like schizophrenia. This option allows the parents to take a break while ensuring that their child receives the necessary supervision and care in a safe environment. Respite care can help prevent caregiver burnout and provide a much-needed rest for the family.

Choice B reason:
Acute inpatient care is designed for individuals experiencing severe psychiatric crises that require immediate and intensive treatment. While it provides comprehensive care, it is not typically used for respite purposes. This option is more appropriate for situations where the client poses a danger to themselves or others and needs stabilization.

Choice C reason:
An intensive outpatient program (IOP) offers structured treatment while allowing the client to live at home. It is suitable for clients who need more support than traditional outpatient care but do not require 24-hour supervision. However, it does not provide the temporary relief that respite care offers to caregivers.

Choice D reason:
Partial hospitalization programs (PHP) provide intensive treatment during the day, allowing clients to return home in the evening. While PHPs offer substantial support, they do not address the need for temporary relief for caregivers. Respite care is specifically designed to give caregivers a break from their responsibilities.

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When providing care to a client diagnosed with a mental disorder, the client asks the nurse, “Does mental illness run in your family?” Which response by the nurse would be nontherapeutic?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is A

Explanation

A nurse is talking with a client who has schizophrenia. Suddenly the client states, “I’m frightened. Do you hear that? The voices are telling me to do terrible things.” Which of the following responses by the nurse is appropriate?

The charge nurse is talking with another nurse who states, “I feel like my clients have no interest in their care and do not care that I am trying to help.” Which response should the charge nurse make?

A nurse is developing a plan of care for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?

A nurse manager is discussing suicide with nursing staff. Which of the following should the manager identify as risk factors for suicide? (Select all that apply)

When engaged in therapeutic communication with a client who has been diagnosed with a mental disorder, which is the most important principle for a nurse to keep in mind?

When describing the continuum of care for mental health, which would the nurse identify as the primary goal?

A nurse is planning care for a client who has paranoid schizophrenia. Which of the following interventions should be included in the plan of care?