Registered Practical Nurse (RPN) Practice Test

What statement by a nurse can help an adolescent feel more in control during initial therapy sessions?

1. "You can share anything you like."

2. "You can choose what to discuss."

3. "You must follow my questions."

4. "You have to answer all my questions."

The correct answer is: "You can choose what to discuss."

The statement that invites the adolescent to choose what to discuss is particularly empowering and can significantly contribute to their feeling of control during initial therapy sessions. Adolescents often experience a lack of autonomy in various aspects of their lives, so providing them with the ability to guide the conversation fosters autonomy and encourages engagement. By allowing the adolescent to select the topics of discussion, the nurse respects their individual needs and interests, which can enhance trust and rapport. This approach also recognizes the adolescent as an active participant in their own therapy, rather than a passive recipient of care, promoting a collaborative therapeutic environment essential for effective treatment. Other statements may suggest a less collaborative approach. For example, inviting the patient to share anything they like implies openness but does not provide the same level of control. Conversely, directives that require the patient to respond to questions or follow strict guidelines may engender resistance or anxiety, diminishing the therapeutic alliance.