💊 NCLEX-RN Exam Prep

A client on the psychiatric unit frequently requests special favors from the nursing staff, such as extra snacks or extended phone calls, despite being informed of unit rules. What is the most appropriate nursing response to maintain therapeutic boundaries?

A Grant the occasional request to build rapport.
B Firmly reiterate the unit rules and expectations.
C Refer the client's requests to the charge nurse.
D Ignore the requests to avoid confrontation.

✓ Correct Answer: Option B

Maintaining consistent boundaries is crucial in psychiatric nursing. Firmly but respectfully reiterating rules teaches limits, promotes a therapeutic milieu, and prevents manipulation or dependency.

💡 Why is B) the correct answer?

The correct answer to the question "A client on the psychiatric unit frequently requests special favors from the nursing staff, such as extra snacks or extended phone calls, despite being informed of unit rules. What is the most appropriate nursing response to maintain therapeutic boundaries?" is Option B: Firmly reiterate the unit rules and expectations..

The other options — A) Grant the occasional request to build rapport., C) Refer the client's requests to the charge nurse., D) Ignore the requests to avoid confrontation. — are incorrect for this NCLEX-RN Exam Prep question. As explained above: Maintaining consistent boundaries is crucial in psychiatric nursing. Firmly but respectfully reiterating rules teaches limits, promotes a therapeutic milieu, and prevents manipulation or dependency.

📚 About This NCLEX-RN Exam Prep Practice Question

This 2-level NCLEX-RN Exam Prep question from the Psychosocial Integrity topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free NCLEX-RN Exam Prep practice test or use flashcards for spaced repetition review.

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