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    Health and healing III-mental health – test1 week1-3- Durham College proctored exam

    During an interview, a patient attempts to shift the focus from self to the student nurse by asking personal questions. The student nurse should respond by saying:

    Explanation & Rationale

    Choice A reason: This response is overly blunt and may be perceived as aggressive or defensive. It risks damaging the therapeutic alliance by creating a hostile environment. While it sets a boundary, it does so without providing a therapeutic rationale, which can make the patient feel rejected or judged. Choice B reason: Asking "why" is often non-therapeutic in psychiatric nursing as it can put the patient on the defensive and demand an explanation for a behavior they may not consciously understand. It shifts the focus to the patient's motives in a way that feels like an interrogation. Choice C reason: This statement is authoritarian and focuses on the power dynamic of the relationship. It emphasizes the nurse's control rather than the therapeutic purpose of the interaction. It may discourage the patient from participating actively in their own care or sharing information openly. Choice D reason: This is a classic therapeutic communication technique used to maintain professional boundaries while refocusing the interaction on the patient's needs. It gently reminds the patient of the purpose of the session—their well-being—without being punitive, thereby preserving the therapeutic relationship and ensuring the interview remains patient-centered.

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