A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?
Communicate to the client that it is acceptable to cry.
Determine the client's stage of grief.
Encourage the client to express feelings openly,
Enable the client to obtain spiritual support.
The Correct Answer is B
A. While crying may be a normal expression of grief, determining the client’s stage of grief is more important for assessing the client’s emotional needs.
B. Determining the client’s stage of grief is the first step to understanding the client's emotional state
and providing appropriate support.
C. Encouraging expression is important, but first, understanding the client’s grief stage will guide the
intervention.
D. Spiritual support is valuable, but first, understanding the client's emotional response is necessary before offering this type of assistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Telling the client to "work hard" to stay on schedule does not address the underlying difficulty with medication adherence.
B. Saying not to worry about past issues may minimize the client’s concerns and challenges.
C. Asking "why" the client finds it difficult to take medications might not encourage open communication and could make the client feel judged.
D. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.
Correct Answer is B
Explanation
A. While the voices may be part of the illness, it is important to acknowledge the client’s experience
without dismissing it.
B. Acknowledging the client's experience ("I know you hear the voices, but I do not") is important in establishing rapport and validating their reality.
C. Asking how often the voices are heard can be useful, but acknowledging the client’s perception
should be the first priority.
D. Asking what the voices are telling the client may come later, after the client’s experience has been
acknowledged.
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