A client diagnosed with dependent personality disorder states, Do you think I should move from my parents house and get a job? Which nursing response is most appropriate?

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Question 1 of 5

A client diagnosed with dependent personality disorder states, Do you think I should move from my parents house and get a job? Which nursing response is most appropriate?

Correct Answer: C

Rationale: The most appropriate nursing response is option C, "Let's discuss and explore all of your options." This response acknowledges the client's concerns and shows readiness to work with the client to consider different possibilities. It helps empower the client to actively participate in decision-making and reflects a collaborative approach to problem-solving, which can be beneficial for individuals with dependent personality disorder. Options A, B, and D are not as therapeutic or client-centered as option C.

Question 2 of 5

A student nurse tells the instructor, Im concerned that when a client asks me for advice I wont have a good solution. Which should be the nursing instructors best response?

Correct Answer: C

Rationale: The best response for the nursing instructor is to advise the student nurse to keep the client's best interests in mind and do the best that they can. It is important for nurses to approach situations with empathy and a commitment to helping clients to the best of their abilities. While nurses may not always have all the answers or solutions, it is essential to prioritize the well-being of the client and act in their best interests. By focusing on the client's needs and doing their best to provide support and assistance, the student nurse can contribute positively to the client's care and build a foundation for continued learning and growth in their practice.

Question 3 of 5

A client on an inpatient psychiatric unit tells the nurse, I should have died, because I am totally worthless. In order to encourage the client to continue talking about feelings, which should be the nursing initial response?

Correct Answer: C

Rationale: The nursing initial response should focus on acknowledging the client's feelings and encouraging further discussion. Option C, "You've been feeling sad and alone for some time now?" demonstrates empathy and understanding towards the client's emotions, which can help open up communication and provide support for the client to express more about their feelings. This response validates the client's emotions and shows that the nurse is actively listening and ready to engage in a conversation about their experiences. It also helps to create a safe space for the client to express their thoughts and feelings without judgment.

Question 4 of 5

A client slammed a door on the unit several times. The nurse responds, You seem angry. The client states, Im not angry. What therapeutic communication technique has the nurse employed, and what defense mechanism is the client unconsciously demonstrating?

Correct Answer: C

Rationale: The nurse in this scenario used a therapeutic communication technique called reflection by stating, "You seem angry," to help the client explore their feelings. However, the client denied feeling angry, which is an example of the defense mechanism of projection. Projection is when individuals attribute their own unacceptable feelings or impulses onto someone else. In this case, the client is projecting their anger onto the nurse by denying feeling angry, even though their actions (slamming the door) indicate otherwise.

Question 5 of 5

During a community meeting, a nurse encourages clients to present unit problems and discuss possible solutions. Which type of leadership style is the nurse demonstrating?

Correct Answer: A

Rationale: The nurse is demonstrating a democratic leadership style by encouraging clients to present unit problems and discuss possible solutions during the community meeting. In a democratic leadership style, decision-making is shared among group members, with the leader facilitating discussions and considering input from others before making decisions. This approach fosters collaboration, participation, and empowerment among group members, ultimately leading to more effective problem-solving and decision-making processes. This style is often used in healthcare settings to promote team cohesion and engagement.

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