A nurse in an acute care mental health facility is talking with a client who is depressed. Which of the following actions should the nurse take?

Express sympathy for the client during interaction.

Assist the client in decision-making by giving sound advice.

Tell the client that he should make direct eye contact when communicating verbally.

Watch the client for nonverbal cues.

Answer and Explanation

The Correct Answer is D

A. Express sympathy for the client during interaction: Sympathy can create a sense of pity and isn't as effective as empathy, which fosters understanding.
B. Assist the client in decision-making by giving sound advice: Giving advice can undermine the client's autonomy and may not be suitable in therapeutic communication.
C. Tell the client that he should make direct eye contact when communicating verbally: Forcing direct eye contact can be intimidating for someone who is depressed.
D. Watch the client for nonverbal cues: Observing nonverbal cues can provide valuable information about the client's emotional state and needs.

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Correct Answer is D

Explanation

A. Role reversal: Role reversal occurs when individuals switch roles with each other, which is not applicable in this context.
B. Unconditional regard: Unconditional positive regard refers to showing complete acceptance of the client regardless of their actions or behaviors. This term does not describe the phenomenon of the nurse's feelings based on past experiences.
C. Transference: Transference is when a client projects feelings about someone from their past onto the therapist or nurse. This term does not describe the nurse's feelings based on past experiences.
D. Countertransference: Countertransference occurs when a nurse develops feelings toward a client based on the nurse's own past experiences or emotions. This is the correct term for the situation described.

A. Sit quietly until the client responds B. Tell the client they must express the unpleasant feelings C. Apologize for asking such a personal question D. Change the subject to something the client will discuss

Correct Answer is A

Explanation

A. Sit quietly until the client responds: Correct. This allows the client time to process their thoughts and respond at their own pace, showing respect and patience.
B. Tell the client they must express the unpleasant feelings: Incorrect. This directive approach can be intrusive and may pressure the client.
C. Apologize for asking such a personal question: Incorrect. Apologizing might imply that the question was inappropriate, which can shut down communication.
D. Change the subject to something the client will discuss: Incorrect. Changing the subject can convey a lack of interest or avoidance of the client's true feelings.

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A nurse in an acute care mental health facility is talking with a client who is depressed. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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