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 B
Explanation
A. This principle relates to protecting patient information. It is not relevant to this scenario.
B. This principle respects the patient's right to self-determination. By disregarding the client's preference for walking with her daughter, the nursing assistant violated the client's autonomy.
C. This principle involves doing good for the patient. While the nursing assistant might have intended to benefit the client by encouraging exercise, it was done at the expense of the client's autonomy.
D. This principle involves avoiding harm to the patient. While the client was upset, there is no evidence of physical harm in this situation.
Correct Answer is D
Explanation
A. Suicide rates are high among middle-aged individuals, particularly those between 45 and 64 years old but the highest rates are actually found among older adults and particularly among men. Among all age groups, older adults and young adults (especially males) have notably high suicide rates.
B. Suicide is a significant public health issue in the United States. It affects individuals across various demographics and has serious social, emotional, and economic impacts. The idea that it is "not a problem" is inaccurate and dismissive of the reality of the issue.
C. While antidepressants can be a crucial part of treatment for depression, which is a major risk factor for suicide, they do not fully control or prevent suicide on their own. Suicide prevention requires a comprehensive approach that includes mental health support, therapy, crisis intervention, and social support, among other strategies.
D. In the United States, suicide is indeed one of the leading causes of death. As of recent data, it ranks as the tenth leading cause of death overall. This highlights its significant impact and the need for effective prevention strategies and mental health support.
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