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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Shorter and more frequent hospital stays for persons with severe and persistent mental illness. The "revolving door effect" in mental health care refers to the pattern of individuals with severe and persistent mental illness being repeatedly admitted and discharged from hospitals due to inadequate community-based support systems. This cycle often leads to poorer outcomes for patients, increased costs, and challenges in providing effective care
B. Flexible treatment settings for mentally ill is not accurate as it implies a positive approach to care, which is opposite to the revolving door effect.
C. Most effective and least expensive treatment settings is also incorrect as the revolving door effect is generally associated with higher costs and less effective care.
D. An overall reduction in incidence of severe mental illness: This is the opposite of the "revolving door effect," which implies ongoing issues with severe mental illness management.
Correct Answer is B
Explanation
A. Maturational: Maturational crises occur during life transitions or developmental stages, such as adolescence or retirement. The client’s response to a sudden loss does not fit this category.
B. Adventitious: Adventitious crises are caused by unexpected or external events, such as natural disasters or violent incidents. The sudden death of a partner fits this category, as it is an unexpected and external event impacting the client’s life.
C. Developmental: Developmental crises involve issues related to developmental stages and transitions. The client’s reaction to a sudden death is not related to developmental stages but rather to an unexpected loss.
D. Situational: Situational crises arise from specific, often unexpected events that disrupt an individual’s life, such as job loss or sudden illness. The sudden death of a partner is more accurately described as an adventitious crisis rather than a situational crisis.
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