When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?

Correct Answer: B

Rationale: The correct answer is B because when the nurse has a therapeutic relationship with the client, it means they work collaboratively. The nurse considers the client a partner in care planning, involving them in decision-making and respecting their autonomy. This approach fosters trust and empowers the client in their care. A: The nurse should maintain professional boundaries and not become friends with the client to avoid conflicts of interest. C: Adhering strictly to the plan of care without flexibility may not meet the client's individual needs and preferences. D: While avoiding a directive approach is important, there are times when the nurse needs to provide guidance and direction for the client's benefit.

Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and encourages the client to express their concerns further. It shows empathy and validates the client's feelings. Choice A provides information without addressing the client's feelings. Choice C puts the client on the spot and may come off as confrontational. Choice D dismisses the client's concerns and lacks empathy. Overall, choice B is therapeutic as it fosters a supportive and open communication environment.

Correct Answer: D

Rationale: The correct answer is D because the individual demonstrates resilience by adapting to the loss of a permanent job through taking a temporary job to maintain financial stability. This shows resilience as they are actively seeking solutions to overcome adversity. A is incorrect as repressing stressors is not a healthy coping mechanism for resilience. B is incorrect as becoming depressed after the death of a spouse indicates a lack of resilience in handling the emotional stress. C is incorrect as living in a shelter for 2 years after a fire is a challenging situation, but it does not necessarily demonstrate the same level of adaptation and proactive approach to adversity as taking a temporary job for financial stability.

Correct Answer: D

Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation may be perceived as aggressive or disrespectful in many cultures. Patients from these cultural groups may prefer indirect communication or conflict resolution methods. Therefore, using direct confrontation could lead to misunderstandings, resistance, or lack of cooperation from patients. A: Interdependence is a common cultural value in many cultures and does not necessarily lead to unrealistic outcomes for patients of other cultural groups. B: Present orientation is a temporal orientation and does not directly impact outcomes for patients from other cultural groups. C: Flexible perception of time may differ across cultures but does not inherently lead to unrealistic outcomes for patients of other cultural groups.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Giving advice can create dependency on the advisor. 2. It may hinder the individual's ability to think for themselves. 3. Encouraging self-reliance and problem-solving is more effective. 4. Therefore, giving advice is rarely helpful in promoting independence and personal growth. Summary of other choices: B. Fostering independence would involve guiding individuals to make their own decisions. C. Lifting the burden of decision-making could lead to reliance on external opinions rather than self-reflection. D. Developing feelings of personal adequacy is better achieved through self-discovery and empowerment rather than being told what to do.