A hungry, homeless client, diagnosed with schizophrenia, refuses to participate in an admission interview. When the nurse postpones the admission interview, verbally assures safety, and provides a warm meal, he or she is promoting which of the following?

Correct Answer: B

Rationale: By postponing the admission interview, verbally ensuring safety, and providing a warm meal to the client, the nurse is establishing a foundation of trust with the individual. Trust is important in any therapeutic relationship, especially with clients who may have past experiences of mistrust, such as homeless individuals with mental health conditions. Building trust allows the client to feel more comfortable and secure in the interaction, which can ultimately lead to better outcomes in their care and treatment. It also sets the stage for future engagement and collaboration between the client and healthcare providers.

Correct Answer: D

Rationale: During the working phase of relationship development, the priority task for a nurse is to promote the client's insight and perception of reality. This involves helping the client gain a better understanding of their thoughts, emotions, and behaviors, as well as helping them see things more clearly and accurately. By promoting the client's insight and perception of reality, the nurse can assist the client in making positive changes, resolving issues, and achieving their therapeutic goals. This task is essential for facilitating growth, problem-solving, and overall improvement in the client's mental health and well-being.

Correct Answer: C

Rationale: In the working stage of the therapeutic relationship, the nurse's most therapeutic statement would be to focus on the client's concerns and goals. By asking the client which identified problems they would like to address first, the nurse demonstrates respect for the client's autonomy and empowers them to take an active role in the therapeutic process. This approach helps to establish a collaborative relationship built on trust and mutual understanding, which is essential for effective communication and progress in therapy. By prioritizing the client's agenda, the nurse can tailor the interventions and support provided to meet the client's specific needs and goals.

Correct Answer: D

Rationale: In a therapeutic nurse-client relationship, self-disclosure by the nurse is appropriate when it is judged that the information may benefit the client. This means that the nurse shares personal information with the client if it will have a positive impact on the client's well-being, understanding, or progress in therapy. Self-disclosure should always be client-centered and used as a therapeutic tool to help the client, rather than for the nurse's own benefit. It is important for the nurse to carefully evaluate the potential benefits and risks of self-disclosure before sharing personal information with the client.

Correct Answer: C

Rationale: Offering a general lead is a therapeutic communication technique used by nurses to encourage clients to continue expressing themselves. "Yes, I see. Go on." is an example of a general lead because it acknowledges the client's communication and prompts them to share more without imposing any judgment or bias in the response. This technique helps build rapport and trust between the nurse and the client, facilitating a more open and honest dialogue. In contrast, options A, B, and D are not examples of general leads as they are more direct or closed-ended questions that may limit the client's opportunity to freely express themselves.