A client who usually is very active in her therapy group tells the nurse that she really does "not feel well today" and would "rather not attend the group therapy session. Which is the nurse's most appropriate response?

It's okay to skip the session but the others will get ideas.

will just stay with you for a while.

You don't feel like attending the group therapy today?"

Why don't you want to attend group therapy?"

Answer and Explanation

The Correct Answer is C

A.   This response is dismissive and doesn't address the client's feelings. It also implies that the client's absence will negatively impact the group, which is not helpful.
B.   While this shows empathy, it doesn't address the client's reason for not wanting to attend the group.
C.   This response acknowledges the client's feelings without being judgmental and opens a space for further communication.
D.   This question might put the client on the defensive and can be perceived as challenging. It's important to create a safe and supportive environment for the client to express their feelings.

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Correct Answer is B

Explanation

A. This principle relates to protecting patient information. It is not relevant to this scenario.
B. This principle respects the patient's right to self-determination. By disregarding the client's preference for walking with her daughter, the nursing assistant violated the client's autonomy.
C. This principle involves doing good for the patient. While the nursing assistant might have intended to benefit the client by encouraging exercise, it was done at the expense of the client's autonomy.
D. This principle involves avoiding harm to the patient. While the client was upset, there is no evidence of physical harm in this situation.

A. Preferring to eat his meals while watching TV B. Planning to give his CD collection to his girlfriend C. Telling his parents that he doesn't want to talk about the attempt D. Stating that he wants to be with his peers more than with his parents

Correct Answer is B

Explanation

A. Preferring to eat meals while watching TV is a common behavior that is not specifically associated with suicidal ideation. It may simply reflect the adolescent's comfort or routine preferences rather than a sign of continued suicidal intent.
B. Giving away personal belongings, such as a CD collection, can be a sign that the adolescent is making arrangements for their belongings in case of death. This behavior can sometimes suggest that the individual may be planning for their end, which could indicate lingering suicidal thoughts. It's important to explore this behavior further with the adolescent to understand their intentions and state of mind.
C. While avoidance of discussing the suicide attempt may indicate emotional distress or a reluctance to engage, it does not directly point to ongoing suicidal intent. It could also reflect a desire for privacy or difficulty in expressing feelings, rather than a clear indication of suicidal ideation.
D. Adolescents often express a desire to spend more time with peers rather than family, which is a common developmental behavior. This preference alone does not necessarily indicate suicidal intent and is more reflective of typical adolescent social behavior.

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A client who usually is very active in her therapy group tells the nurse that she really does "not feel well today" and would "rather not attend the group therapy session. Which is the nurse's most appropriate response?

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Correct Answer is B

Explanation

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

Correct Answer is B

Explanation

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Suicide attempts by are more successful because one out of every two attempts results in death.

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