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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Delirium is characterized by a sudden onset of confusion and changes in mental status, often occurring over a short period (hours to days). This contrasts with dementia, which has a gradual onset and progressive decline in cognitive function over months or years.
B. In delirium, the ability to perform activities of daily living (ADLs) is often affected because cognitive and attentional impairments can interfere with daily functioning. In contrast, early stages of dementia may still allow for relatively intact ADLs, and in depression, ADLs might be affected due to lack of motivation or energy rather than cognitive impairment.
C. Delirium typically involves visible, pronounced cognitive changes and fluctuating levels of awareness and attention. Clients with delirium usually exhibit overt confusion and disorientation. In contrast, in dementia, cognitive changes are progressive and become more apparent over time.
D. An apathetic demeanor or flat affect is more commonly associated with depression, where mood disturbances such as sadness, lack of motivation, and diminished emotional expression are prevalent. Dementia might also involve changes in affect, but apathy and flat affect are not distinguishing features of delirium.
Correct Answer is C
Explanation
A. During escalation, individuals are experiencing increasing tension and anger but may still be able to respond to reason or directions. This is the stage where intervention is crucial to prevent the situation from worsening.
B. This phase follows the crisis and is characterized by a decrease in tension. Individuals may be more receptive to communication and reasoning at this point.
C. This is the stage where individuals have lost control, and their behavior is driven by intense emotions. They are unable to process information or respond rationally.
D. The trigger is the initial event that sets off the cycle. While it can lead to escalating emotions, it doesn't necessarily prevent individuals from listening or engaging mentally.
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