A nurse is caring for a client who has depression. When the nurse encourages the client to join an activity the client states, "What's the use?" Which of the following is an appropriate nursing intervention?
Tell the client that she has a self-defeating attitude and it will only make her feel worse.
Sit down with the client and ask her why she doesn't want to participate
Convince the client how helpful it will be to engage in the activity
Tell the client that it is time for the activity, and accompany her to the activity.
The Correct Answer is B
A. This response is accusatory and invalidates the client's feelings. It's important to approach the client with empathy and understanding.
B. It shows the nurse's interest and willingness to understand the client's perspective. By asking open- ended questions, the nurse can explore the reasons behind the client's reluctance and offer support accordingly.
C. While it may be beneficial for the client to participate in activities, pressuring them or convincing them might not be effective. It's important to respect the client's feelings and work with them to find ways to overcome their reluctance.
D. This approach is directive and dismissive of the client's feelings. It's essential to involve the client in the decision-making process and address their concerns before expecting them to participate in an activity.
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Related Questions
Correct Answer is D
Explanation
A. Group homes provide supportive living environments for individuals with chronic mental health issues or those who need assistance with daily living but are not in acute crisis. While beneficial for long-term support and rehabilitation, a group home may not offer the intensive and immediate care required for someone who is actively suicidal.
B. Long-term mental health facilities are designed for ongoing treatment and support for individuals with severe and chronic mental health conditions. While they offer extensive services and support, they are typically not intended for clients who need immediate stabilization and short-term care for acute suicidal ideation.
C. Outpatient clinics provide regular therapy and support for individuals with less acute needs. While they are valuable for ongoing mental health care and management, they may not be equipped to handle a client in immediate danger of suicide who requires 24/7 monitoring and intensive intervention.
D. An inpatient mental health unit is designed for individuals experiencing severe mental health crises, including suicidal ideation. It provides intensive, round-the-clock care, including monitoring, psychiatric evaluation, and immediate crisis intervention.
Correct Answer is D
Explanation
A. This is an inappropriate and potentially harmful response. Restraints should only be used as a last resort and under strict protocols.
B. While it might be tempting to address the behavior, it's unlikely to be effective in this situation. The client is agitated and not receptive to reason.
C. Seclusion is a restrictive measure that should be avoided if possible. It's not appropriate in this situation where the client is verbally abusive but not physically threatening.
D. This is the most appropriate response. It sets a clear boundary, de-escalates the situation, and gives the client and nurse time to calm down.
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