Ati rn 400 mental health final proctored exam
A nurse is caring for a client who has delusional behavior and states, "I can't go to group therapy today. I am expecting a high level official to visit me!" The nurse responds, "I understand, but it is time for group therapy and we expect everyone to attend. Let's walk over together." For which of the following reasons is the nurse's response considered therapeutic?
Explanation & Rationale
A. Reflection involves paraphrasing the client’s feelings or thoughts, but the nurse's response does not reflect the client’s delusion. B. While the nurse acknowledges the client’s statement, the response does not demonstrate empathy for the delusion; rather, it maintains focus on the current reality and the need to attend therapy. C. The nurse clearly articulates what is expected of the client (attending group therapy), which helps set appropriate boundaries and structure for the client. D. The nurse’s response does not appear to be focused on manipulating or limiting behavior, but rather on reinforcing the expected behavior in a calm, non-confrontational manner.
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