A client says to the nurse, "I've been following my diet and taking my medication. What else do you want to talk about today?" Which response would be most helpful during the working phase of the therapeutic alliance?

A. "Sounds fine to me. Let's meet again in 6 months."
B. "I don't believe that you have been following your diet, because you haven't lost any weight."
C. "Well, you've talked about diet in your terms, but perhaps I should test you on specific things."
D. "Some people have added exercise to diet and medication therapy and gotten positive results. Do you think that this would work for you?"


Ans: D. "Some people have added exercise to diet and medication therapy and gotten positive results. Do you think that this would work for you?"

Nursing

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A patient with renal failure has been taking aluminum hydroxide/magnesium hydroxide suspension (Maalox) at home for indigestion. The patient arrives for outpatient hemodialysis and is unresponsive to questions and has decreased deep tendon reflexes

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