While the nurse is talking with a female client, the client becomes silent for several seconds. Which is the nurse's best response?

To tell the client that help can be more effective if she shares her feelings

To interpret this action as an indication that the client is finished with the conversation

To ask the client a question so the interaction can continue

To remain silent and be attentive to the client's nonverbal communication

Answer and Explanation

The Correct Answer is D

Choice A rationale: this may imply that the client is not cooperating and may make them feel guilty thus discouraging any further communication which may be useful in generating a treatment plan for the patient.
Choice B rationale: assuming that the client has completed her conversation is incorrect since it is an opportunity to explore the client’s feelings and thoughts that may be missed.
Choice C rationale: this is not the best action since it may interrupt the client’s natural process of reflection and expression while pressuring him/her to respond to the questions asked.
Choice D rationale: remaining silent and being attentive to the client’s nonverbal communication shows respect for the client’s pace and readiness to speak.
Furthermore, it demonstrates the nurse’s presence and their support.

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Correct Answer is B

Explanation

Choice A rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice B rationale: this is one of the criteria for inpatient admission to a mental health facility since with the inability to cope with life stressors or control his behaviors the patient is at risk of harming either themselves or others. Moreover, this criterion reflects the principle of beneficence, meaning that the best is being done for the client's well-being and safety.
Choice C rationale: this is incorrect since depression is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice D rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.

A. Focus on the staff member and to build rapport B. Focus on the attitude of the client C. Focus on the client and to build a rapport D. Foster a social relationship

Correct Answer is C

Explanation

Choice A rationale: this is incorrect since it implies that the needs of the staff member are to be given the primary focus rather than the client’s needs.
Choice B rationale: this is inaccurate since it suggests that the staff member is evaluating or criticizing the client's attitude. This can make the client become defensive and resistant during their management process.
Choice C rationale: the client is the primary focus in a therapeutic relationship hence in therapeutic communication, the staff member should be empathetic and non-judgmental to the client. They should build a rapport with the client by exercising effective communication skills such as using open-ended questions, active listening, and providing feedback to facilitate the client's expression of feelings and needs.
Choice D rationale: this statement is incorrect as it suggests that the staff member is trying to foster a personal and casual relationship with the client which can compromise their professional role in patient management.

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While the nurse is talking with a female client, the client becomes silent for several seconds. Which is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is an accepted criterion for inpatient admission to a mental health facility?

Correct Answer is B

Explanation

The goals of therapeutic communication are to:

Correct Answer is C

Explanation

Which medication side effect is irreversible if not caught early:

During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying?

The basic goals of a therapeutic environment include all of the following except:

In the Working phase of the nurse-client relationship, the client and nurse work toward the goals that are agreed upon. (True or False)

Showing empathy toward a client is an effective tool in establishing rapport. Which nurse statement is the best example of an empathetic response?

The nurse is administering medications to a client with a diagnosis of depression. The nurse would expect to see which medication was ordered for this client.

Common problems in a therapeutic relationship include all of the following except

Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on: