Answer to Question 1
Ans: C
Nurses establish rapport through interpersonal warmth, a nonjudgmental attitude, and a demonstration of understanding. The response about the relationship becoming uncomfortable reflects both a nonjudgmental attitude and understanding. Telling the client that being a lesbian is unnatural, or that she should pursue a relationship with a man, reflects the nurse's beliefs, gives advice, and is judgmental. Telling the client she needs to focus on herself ignores the client's concern.
Answer to Question 2
Ans: A
The nurse's best response is, Have you ever thought about hurting yourself? This response seeks to clarify the client's statement about hurting himself and opens the door to allow a therapeutic discussion, since clients with depression may have suicidal thoughts. Telling the client to take the medication, agreeing with the client, or giving advice will block therapeutic communication.
