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.

Correct Answer: C

Rationale: The member statement "I can give you all of my baby clothes for your little one" exemplifies Yalom's curative group factor of altruism. Altruism in group therapy refers to the act of selflessly helping and supporting others in the group. In this case, the member offering to give away their baby clothes to the homeless family's child demonstrates a selfless act of kindness and support, which fosters a sense of connection and care within the group. This kind of altruistic behavior can promote a supportive and nurturing group dynamic, ultimately contributing to the healing and growth of all members involved.

Correct Answer: D

Rationale: The student statement "Members themselves run the group, with leadership usually rotating among the members" indicates that learning has occurred because it accurately describes one of the key features of self-help groups like Alcoholics Anonymous (AA). These groups are typically characterized by a lack of formal leadership, with members taking on leadership roles on a rotating basis. This highlights the important aspect of peer support and shared responsibility within these groups.

Correct Answer: C

Rationale: An experienced psychiatric registered nurse is most qualified to lead a parenting group among the options provided. This is because a psychiatric nurse's expertise typically includes knowledge and skills in mental health conditions, behavioral interventions, communication techniques, and family dynamics. Leading a parenting group would allow the nurse to utilize their background to assist parents in managing challenging behaviors, understanding mental health concerns, and enhancing family relationships. In this role, the nurse can provide valuable support and education to help parents navigate various issues related to their children's mental health and well-being.

Correct Answer: D

Rationale: The appropriate nursing response is "I can see that you are angry. Let's discuss ways to approach Peter with your concerns." This response acknowledges the client's emotions and validates their feelings, showing empathy and support. By offering to discuss ways to address the issue with Peter, the nurse is engaging in a collaborative problem-solving approach that empowers the client to take appropriate action. This response focuses on addressing the problem constructively and promoting effective communication and conflict resolution skills. It also fosters a therapeutic nurse-client relationship based on mutual respect and understanding.