A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?

Share personal information to help the client feel comfortable.

Set boundaries with the client regarding personal space.

Tell the client if she reminds the nurse of a personal friend or relative.

Develop an emotional commitment to the client.

Answer and Explanation

The Correct Answer is B

A.   Sharing personal information can blur the professional boundaries and hinder the therapeutic relationship. The nurse's focus should be on the client's needs and well-being.
B.   Maintaining professional boundaries is essential in therapeutic relationships. It helps to establish trust and ensures the nurse can provide effective care without becoming emotionally involved.
C.   Comparing the client to someone else can be misleading and inappropriate. It's important to focus on the client as an individual and avoid making comparisons.
D.   While empathy and compassion are crucial in nursing, developing an emotional commitment can compromise objectivity and hinder the nurse's ability to provide effective care.

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Correct Answer is D

Explanation

A. This is an inappropriate and potentially harmful response. Restraints should be used as a last resort and only under specific circumstances. In this case, they are not necessary and could escalate the situation.
B. Attempting to reason with an agitated client is unlikely to be effective and could further escalate the situation.
C. Seclusion should be used as a last resort and only under specific circumstances. In this case, it is not necessary and could increase the client's agitation and sense of isolation.
D. This is the most appropriate response as it sets a clear boundary, gives the client time to calm down, and allows the nurse to return when the situation is more stable.

A. Posttraumatic stress disorder B. Obsessive-compulsive disorder C. Disordered thinking D. Phobia

Correct Answer is A

Explanation

A. This is the most likely diagnosis based on the information provided. The teenager's reaction to the firecrackers is a classic example of a trigger response associated with PTSD. The loud noise is likely triggering a flashback to the school shooting, causing the individual to react as if they are back in the traumatic event.
B. OCD involves recurrent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions). While the behavior might seem repetitive, it's directly linked to a traumatic event, making PTSD a more likely diagnosis.
C. This is a broad term that could encompass various mental health conditions. While the behavior might seem unusual, it's a direct response to a traumatic experience, making PTSD more specific.
D. A phobia is an irrational fear of a specific object or situation. While the teenager might exhibit fear, the response is directly linked to a traumatic event, making PTSD a more appropriate diagnosis.

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A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

Suicide attempts by are more successful because one out of every two attempts results in death.

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