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

Answer and Explanation

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.

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Correct Answer is B

Explanation

B. Make a schedule for daily task.

Creating a schedule of daily tasks can provide structure and routine for individuals with Alzheimer's disease. This helps reduce confusion and frustration by providing a sense of familiarity and predictability. The schedule should be displayed in a visible location and include activities such as meals, personal care, medication administration, and any recreational or therapeutic activities. Following the schedule can help the client feel more oriented and decrease their frustration levels.

Limiting the use of familiar objects in (option A) should not be included because it may further increase frustration and disorientation. Familiar objects can provide comfort and a sense of security for individuals with Alzheimer's disease.

Asking questions that require more than one answer in (option C) should not be included because it can be overwhelming and confusing for someone with Alzheimer's disease. It is best to ask simple, straightforward questions to facilitate communication and comprehension.

Having several family members visit daily in (option D) should not be included because it may cause agitation and overstimulation for the client. It is important to maintain a calm and predictable environment, limiting the number of visitors and ensuring they are familiar to the client.
Therefore, the most appropriate intervention for the nurse to include is making a schedule of daily tasks (option B).

A. "You should think about placing your mother in a long-term care facility." B. I think you should find other family members who could help your mother." C. "You owe it to your mother to take care of her now that she needs you." D. "Let me give you some information about respite care for your mother."

Correct Answer is D

Explanation

This response acknowledges the son's exhaustion and offers a constructive solution by suggesting respite care. Respite care provides temporary relief to caregivers by arranging for someone else to take over caregiving responsibilities for a specific period of time.

It allows caregivers to have a break and take care of their own physical and emotional well-being. By providing information about respite care, the nurse is offering support and resources to help alleviate the son's fatigue while ensuring that the mother's care needs are still met.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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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?