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 C

Explanation

A. Getting better treatment in larger, more urban areas: The Community Mental Health Center Act aimed to decentralize mental health care and improve community-based services, not specifically to enhance treatment in urban areas.

B. Providing former patients with employment opportunities: While employment is important, the primary goal of the Act was to provide community-based care rather than focusing solely on employment opportunities.

C. Moving patients to their home community for treatment: This is correct. The Community Mental Health Center Act aimed to integrate mental health care into local communities, providing treatment closer to home.

D. Removing the stigma of living in an institution: While reducing stigma was a factor, the primary goal was to provide community-based mental health services rather than focusing solely on stigma reduction.

A. "You will have to have supervision when you go out in the community." B. "You will be able to live in your own home while you receive therapy regularly." C. "You will not be allowed out with friends while in the program." D. "You will have someone in your home at all times to ask questions if you have any concerns."

Correct Answer is B

Explanation

A. "You will have to have supervision when you go out in the community." This option implies a lack of independence and control for the client, which is generally counterproductive in community-based care. The goal is to empower individuals to live as independently as possible.
B. "You will be able to live in your own home while you receive therapy regularly." This option highlights a key advantage of community-based care for individuals with mental illness: the ability to maintain independence and live within the familiar environment of their own home while receiving necessary treatment and support. This approach fosters a sense of normalcy, reduces stigma, and can contribute to improved quality of life.
C. "You will not be allowed out with friends while in the program." This option suggests a restrictive environment, which is not conducive to a healthy and fulfilling life. Social interaction is crucial for mental well-being, and community-based care should promote social connections.
D. "You will have someone in your home at all times to ask questions if you have any concerns." While having support available is important, constant supervision can be overwhelming and intrusive for many clients. The focus should be on empowering individuals to manage their own care and build independence.

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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

The primary purpose of the Community Mental Health Center Act of 1963 was

Correct Answer is C

Explanation

Which is a positive aspect of treating clients with mental illness in a community-based care?

Correct Answer is B

Explanation

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