Which of the following statements by the nurse requires intervention by the charge nurse when a client is sharing concerns about their marriage?

"You should try to see your partner's point of view before your own."

"Tell me more about the concerns that you have regarding your marriage."

"We could develop a plan for how to talk about this with your partner."

"Relationship difficulties are stressful and require effort to resolve."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement may require intervention by the charge nurse because it suggests the nurse is taking a directive approach, potentially overstepping professional boundaries. It implies that the client's perspective is less important than their partner's, which could undermine the therapeutic relationship and the client's sense of autonomy.

Choice B reason:

Asking the client to elaborate on their concerns is a therapeutic communication technique that encourages expression and exploration of feelings. It does not require intervention as it is supportive and facilitates the nurse-client relationship.

Choice C reason:

Offering to help the client develop a plan to discuss their concerns with their partner is a constructive approach that empowers the client. It promotes problem-solving and does not necessitate intervention by the charge nurse.

Choice D reason:

Acknowledging that relationship difficulties are stressful and require effort to resolve is an empathetic statement that validates the client's experience. It is supportive and does not require intervention.

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Correct Answer is D

Explanation

Choice A reason:

Flight of ideas is a symptom characterized by an abrupt switch from one topic to another in a very fast manner. It's commonly seen in manic episodes of bipolar disorder rather than schizophrenia.

Choice B reason:

Erotomania is a type of delusional disorder where the affected person believes that another person, often someone important or famous, is in love with them. This does not align with the behavior described in the scenario.

Choice C reason:

Delusions of grandeur involve an exaggerated belief of one's importance, power, knowledge, or identity. They are often found in narcissistic personality disorder and various types of psychosis, including schizophrenia. However, the behavior in the scenario does not indicate delusions of grandeur but rather a misinterpretation of others' actions.

Choice D reason:

Ideas of reference involve the belief that casual incidents and other external events have a particular and unusual significance that is specific to the person. This is consistent with the client's reaction to the group's laughter as being directed at them personally, which is why it is the correct answer.

A. Socioeconomic B. Cultural C. Developmental D. Adventitious

Correct Answer is A

Explanation

Choice A reason:

Socioeconomic stressors are related to an individual's social and economic position and can include factors such as poverty, unemployment, and lack of access to resources. Homelessness is often directly associated with socioeconomic issues, as it can be a result of financial hardship, lack of affordable housing, and insufficient social support systems.

Choice B reason:

Cultural stressors involve the stress that comes from navigating different cultural norms and expectations. While homelessness can be influenced by cultural factors, such as societal attitudes towards poverty, the stress related to homelessness itself is more accurately categorized under socioeconomic stressors rather than cultural ones.

Choice C reason:

Developmental stressors are those that occur as part of the normal process of growth and development, such as adolescence or aging. Homelessness is not inherently a developmental issue, although it can impact individuals at any stage of their development.

Choice D reason:

Adventitious stressors are unexpected and arise from events that are not part of everyday life, such as natural disasters or accidents. While homelessness can sometimes result from such events, it is more commonly linked to ongoing socioeconomic challenges rather than sudden, adventitious occurrences.

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Which of the following statements by the nurse requires intervention by the charge nurse when a client is sharing concerns about their marriage?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client who reports stress related to homelessness. The nurse should identify that the client is experiencing which of the following types of stressors?

Correct Answer is A

Explanation

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