Which of the following should be the appropriate action by a nurse attempting to develop a therapeutic relationship with a client?

Engage in affectionate interactions with the client.

Promote the use of transference by the client.

Instruct the client on how they should behave.

Set limits for the relationship.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Engaging in affectionate interactions with the client is not appropriate in a therapeutic relationship. Affectionate interactions can blur the professional boundaries necessary for a therapeutic relationship and may lead to dependency or other issues that could compromise the care provided.

Choice B reason:

Promoting the use of transference by the client is not an appropriate action. Transference is a phenomenon where clients project feelings about figures from their past onto a healthcare professional. While recognizing transference is important, promoting it is not advised as it can interfere with the objectivity of care.

Choice C reason:

Instructing the client on how they should behave is not typically conducive to developing a therapeutic relationship. It may be perceived as paternalistic or authoritarian, which can undermine trust and hinder the establishment of a collaborative relationship.

Choice D reason:

Setting limits for the relationship is the correct action. Establishing clear boundaries helps maintain a professional and therapeutic relationship. It ensures that both the nurse and the client understand the expectations and limits of their interactions, which is essential for effective treatment and the client's well-being.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason:

Offering medication as the first response may not be the most appropriate initial action. It is important to first assess the client's needs and feelings before suggesting pharmacological interventions. Medication can be a part of the treatment plan, but it should not replace therapeutic communication and support.

Choice B reason:

While rest can be beneficial, suggesting that most clients with anxiety benefit from lying down may not address the immediate need for emotional support and can be seen as dismissive of the client's current state of distress.

Choice C reason:

Relaxation exercises can be helpful for managing anxiety, but the suggestion may not be well-received if the client is seeking immediate emotional support. It is important to first establish a connection and understand the client's experience before recommending specific interventions.

Choice D reason:

Inviting the client to a quiet area to talk provides an opportunity for the nurse to offer support and actively listen to the client's concerns. This approach acknowledges the client's distress and offers a safe space for expression, which is a key component in managing anxiety.

A. Encourage client input in the treatment plan. B. Communicate with the client using concrete language. C. Demonstrate assertive behavior. D. Promote appropriate behavior during group therapy sessions.

Correct Answer is B

Explanation

Choice A Reason:

Encouraging client input in the treatment plan is important for fostering a sense of autonomy and engagement in their care. However, it is not the highest priority when dealing with a client who has histrionic personality disorder. Clients with this disorder often exhibit dramatic and attention-seeking behaviors, which can interfere with their ability to participate effectively in treatment planning.

Choice B Reason:

Communicating with the client using concrete language is the highest priority. Clients with histrionic personality disorder may have difficulty with abstract thinking and may misinterpret vague or ambiguous statements. Using clear, concrete language helps ensure that the client understands the information being conveyed, which is crucial for effective communication and treatment adherence.

Choice C Reason:

Demonstrating assertive behavior is beneficial in managing clients with histrionic personality disorder, as it sets clear boundaries and models appropriate interpersonal interactions. However, it is not the highest priority compared to ensuring clear communication through concrete language.

Choice D Reason:

Promoting appropriate behavior during group therapy sessions is also important, as clients with histrionic personality disorder may exhibit disruptive behaviors in group settings. While this is a significant aspect of their care, it is secondary to the need for clear and concrete communication to ensure the client understands and adheres to their treatment plan.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following should be the appropriate action by a nurse attempting to develop a therapeutic relationship with a client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse notices that a client who has moderate anxiety is pacing the corridor and rambling. As the nurse approaches, the client states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the highest priority for the nurse?

Correct Answer is B

Explanation

A nurse on a mental health unit notices that a client is becoming increasingly agitated and throws a table when he is unable to select the television (TV) channel. Which of the following should be the priority action by the nurse?

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. The nurse recognizes that which of the following responses is an indication that the client is in the denial phase of the grief process?

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)

A nurse educator is discussing community mental health with a group of nursing students. Based on the public health model, which of the following statements made by one of the students indicates correct information about primary prevention?

A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer?

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 an appropriate response by the nurse?