Which statement reflects an accurate understanding of when termination would first be discussed as part of the nurse-patient relationship?
"Now that we've discussed your reasons for being here and how often we will meet. I'd like to talk about what we will do at the time of your discharge."
"You are being discharged today, so I’d like to bring up the subject of termination which includes discussing your time here and summarizing what coping skills you have attained.
"Now that we are working on your problem-solving skills and the behaviors you'd like to change like to bring up the issue of termination
Haven’t met my new patient yes, but am working through my findings of anxiety in dealing with patient who wanted to kill herself
The Correct Answer is C
Choice A Reason:
"Now that we've discussed your reasons for being here and how often we will meet, I'd like to talk about what we will do at the time of your discharge." This option seems to introduce the topic of termination prematurely, especially if the client's issues and goals haven't been adequately addressed yet.
Choice B Reason:
"You are being discharged today, so I'd like to bring up the subject of termination, which includes discussing your time here and summarizing what coping skills you have attained."This option presents termination at the time of discharge without prior discussion or collaboration with the client.
Choice C Reason:
"Now that we are working on your problem-solving skills and the behaviors you'd like to change, I'd like to bring up the issue of termination." In therapeutic relationships, termination is an essential phase that involves discussing the ending of the relationship and summarizing the progress made. Bringing up the topic of termination when actively working on the client's goals and issues is appropriate. It allows for a collaborative discussion about the achievements, future plans, and coping strategies that the client has developed during the therapeutic process.
Choice D Reason:
"I haven't met my new patient yet, but am working through my feelings of anxiety in dealing with a parent who wanted to kill herself." This statement is not related to the discussion of termination in the ongoing nurse-patient relationship.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Authoritarian is incorrect. Authoritarian leadership is characterized by a leader who makes decisions unilaterally and expects strict compliance from group members.
Choice B Reason:
Autocratic is incorrect. Autocratic leadership is similar to authoritarian leadership, where the leader has centralized control, makes decisions without input from others, and expects obedience.
Choice C Reason:
Laissez-faire is correct. The leadership style demonstrated in this scenario is Laissez-faire. In a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to have significant freedom in decision-making and behavior. The leader provides minimal guidance and only intervenes when asked or when absolutely necessary.
Choice D Reason:
Democratic is incorrect. Democratic leadership involves collaboration and shared decision-making among group members. The leader seeks input from the group and values the participation of all members in decision-making processes.
Correct Answer is B
Explanation
Choice A Reason:
Wife/mother is incorrect. The wife/mother expresses that she is not skillful in conflict resolution, but her concerns are related to her own abilities rather than exhibiting specific problematic behaviors that are disruptive or distressing to the family system.
Choice B Reason:
Daughter is correct. The daughter, who is rebellious and in academic trouble, is most likely to be listed as the "identified patient" because her behavior is presenting visible challenges and concerns. In family systems therapy, addressing and understanding the dynamics surrounding the identified patient can provide insights into the broader family issues and interactions.
Choice C Reason:
Son is incorrect. The son is conflicted about where to attend college, which is a common developmental decision. While it may cause some family stress, it doesn't necessarily indicate the presence of disruptive or problematic behavior warranting the label of "identified patient."
Choice D Reason:
Husband/father is incorrect. The husband/father is skeptical of the idea that talking can be helpful, but skepticism or reluctance to engage in therapy does not necessarily make him the identified patient. His behavior doesn't present as a disruptive symptom within the family.
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