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    NUR 205 A- Mental Health Final Proctored Exam- Winter- Swedish Institute

    A nurse is working with a client who has a history of repeated abusive intimate relationships. The nurse has difficulty understanding why a person would repeatedly enter into relationships with abusive partners. When working with this client, the nurse can best maintain a therapeutic relationship through which approach?

    Explanation & Rationale

    The nurse-client relationship is built on unconditional positive regard and the suspension of personal judgment. When a nurse experiences difficulty understanding a client's life choices, it is essential to focus on empathy and the client's current emotional state rather than the nurse's own confusion or frustration regarding the client's behavioral patterns. Rationale: A. Staying focused on the client's feelings allows the nurse to maintain a non-judgmental stance. By validating the client’s internal experience, the nurse fosters a safe environment where the client can eventually gain the self-awareness needed to recognize maladaptive patterns without feeling criticized or shamed by the healthcare provider. B. Although a safety or self-rescue plan is a vital clinical intervention, convincing the client is a directive and paternalistic approach that can undermine the client’s autonomy. Therapeutic progress in abuse situations relies on the client feeling empowered to make their own decisions rather than being coerced by the nurse. C. Not prying into details may seem respectful, but it can also be interpreted as avoidance or a lack of concern. While the nurse should not be voyeuristic, they must be able to conduct a thorough psychosocial assessment to identify risks and provide appropriate resources for the client’s safety. D. Asking "why" is a non-therapeutic communication technique that often implies judgment or blame. For a victim of repeated abuse, being asked why they repeat a cycle can be perceived as victim-blaming, which triggers defensiveness and effectively shuts down the therapeutic dialogue.

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