A client is fearful and reluctant to talk after a traumatic event. Which technique will the nurse employ that is most effective when trying to engage the client in interaction?

Silence

Giving information

Focusing

Broad opening

Answer and Explanation

The Correct Answer is A

Choice A reason: Silence allows the client to process trauma at their own pace, creating a safe, non-pressurized environment. Fearful clients may need time to feel secure before speaking. This technique fosters trust, encourages emotional expression, and is particularly effective in trauma, where verbalization can be challenging due to psychological distress.

Choice B reason: Giving information provides facts but may overwhelm a fearful client, who may not be ready to process details post-trauma. This technique is less effective for engagement, as it does not address emotional barriers or encourage self-expression, which are critical for therapeutic interaction in trauma recovery.

Choice C reason: Focusing directs the conversation to specific topics, which can feel intrusive for a traumatized client. It assumes readiness to discuss, potentially increasing anxiety or withdrawal. This technique is less effective than silence, which allows the client to initiate dialogue when emotionally prepared, fostering trust.

Choice D reason: Broad opening encourages the client to choose topics but may be too vague for a fearful, traumatized client, who may feel overwhelmed by the lack of structure. Silence is more effective, as it provides space for emotional processing without pressuring the client to verbalize prematurely.

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Correct Answer is C

Explanation

Choice A reason: Schizophrenia alone does not typically warrant court-mandated outpatient treatment unless associated with criminal behavior. Living with family suggests stability, reducing the likelihood of court intervention. Mandates are linked to legal infractions, not diagnosis alone, making this client less likely for mandated treatment.

Choice B reason: Petty theft may lead to legal consequences, but courts typically mandate treatment for offenses directly tied to mental health or substance use, like DUI. A single theft may not justify mandated outpatient mental health treatment unless it explicitly stems from a diagnosable condition requiring intervention.

Choice C reason: Two DUI offenses indicate repeated substance use (alcohol) posing public safety risks. Courts often mandate outpatient treatment for substance abuse in DUI cases to address addiction and prevent recidivism, making this client the most likely to receive a court-ordered treatment mandate for outpatient care.

Choice D reason: Job loss due to depression does not typically result in court-mandated treatment, as it lacks a criminal component. Treatment may be recommended, but courts intervene when behavior poses legal or safety risks, like DUI, making this client less likely for mandated outpatient treatment.

A. A client who states they intend to harm self and others B. A client who has diabetes who refuses to follow the prescribed diet C. A client who is unable to control rage and is assaulting others D. A client who does not bathe regularly or change clothes often

Correct Answer is A

Explanation

Choice A reason: Stating intent to harm self and others meets criteria for involuntary hospitalization (e.g., 302 commitment), as it indicates imminent danger. Mental health laws prioritize safety, requiring inpatient evaluation to prevent suicide or violence, making this client eligible for involuntary admission to stabilize their condition.

Choice B reason: Refusing a diabetic diet is nonadherence but does not meet criteria for involuntary mental health hospitalization, which requires mental health-related danger to self or others. This behavior may warrant medical intervention, but it lacks the psychiatric urgency needed for involuntary admission.

Choice C reason: Uncontrolled rage with assaultive behavior indicates imminent danger to others, meeting criteria for involuntary hospitalization. Mental health laws allow commitment to protect others and stabilize the client, as assault reflects a severe mental health crisis requiring inpatient intervention to prevent further harm.

Choice D reason: Poor hygiene does not constitute imminent danger to self or others, a requirement for involuntary hospitalization. While it may indicate mental health issues, it lacks the acute risk needed for commitment, making outpatient evaluation or support more appropriate than involuntary admission.

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A client is fearful and reluctant to talk after a traumatic event. Which technique will the nurse employ that is most effective when trying to engage the client in interaction?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a group of clients in the mental health outpatient clinic. Which client is most likely to be mandated by a criminal court for outpatient treatment?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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