A nurse is assisting with a group therapy session and notes a client who remains silent.
Which of the following actions should the nurse take?
Ask other group members to limit the number of times they speak
Allow the client extra time to think of a response
Appoint the client to lead the discussion
Tell the client to leave the group if they cannot contribute
Correct Answer : B
a. Asking other group members to limit their speaking may place unnecessary pressure on the quiet client and make them feel singled out. The goal is to create a supportive environment where the client feels comfortable contributing when they are ready. Limiting the other group members' participation does not address the individual needs of the client who is silent.
b. Some clients may need extra time to process information or formulate their responses, particularly in a group setting where they might feel overwhelmed or anxious. Allowing the client extra time respects their pace and encourages participation without pressuring them.
c. Appointing the client to lead the discussion if they cannot contribute are not appropriate actions. These approaches can increase the client's discomfort and create a negative atmosphere, which goes against the principles of group therapy. It is important to foster an inclusive and supportive environment that encourages participation at each person's pace.
d. Telling a client to leave the group if they cannot contribute is not appropriate action. These approaches can increase the client's discomfort and create a negative atmosphere, which goes against the principles of group therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a.This requires intervention because creases in the stockings can create pressure points that may lead to skin irritation or impaired circulation. The stockings should be applied smoothly and evenly to ensure proper compression and to avoid skin complications.
b.This is not necessary and can actually be incorrect. Antiembolic stockings should be applied with the correct side facing the client's skin. Turning them inside out could alter their effectiveness in providing the required compression.
c.This is appropriate. Applying antiembolic stockings before the client gets out of bed is recommended because it helps to promote venous return and prevent blood clots, especially if the client is immobile or has limited mobility.
d.This is appropriate. Asking the client to point their toes helps to ensure that the stockings can be applied correctly and fit well, reducing the risk of creating pressure points or causing discomfort.
Correct Answer is A
Explanation
Correct answer: A
Preschool-aged children (around 3 to 5 years old) have a limited understanding of death compared to older children or adults. They may not fully grasp the finality and permanence of death. They often have a more concrete and literal understanding of death.
A. Believing the death is punishment for bad behavior: Preschool-aged children (typically 3 to 5 years old) often have magical thinking and may believe that their thoughts or actions can cause events to happen. They may think that the death of a parent is a punishment for something they did or thought, reflecting their egocentric view of the world.
B. Recognizing the parent will never wake up: This understanding is more commonly seen in older children who have a more mature grasp of death. Preschool-aged children may not fully comprehend that death is irreversible and permanent.
C. While preschoolers might ask questions about the funeral out of curiosity, this is not the primary way they process or react to the death of a loved one. Their questions are often more about trying to understand what is happening rather than a genuine curiosity about the specifics of the service.
D. Understanding that everyone dies eventually: While preschool-aged children may have some understanding that death is a natural part of life, their comprehension of its full implications is limited. They may not fully grasp the universality of death and its inevitability for all living beings.
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