A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)

"My ex-partner constantly makes fun of my weight."

"My ex-partner tells me that I can't do anything right."

"I recently was promoted at work but now I'm unable to work with the same coworkers I was used to working with."

"I am newly divorced and a single parent."

"I suppose I really do need to be on medication, like my ex-partner said."

'My friend recently passed away."

Answer and Explanation

Correct Answer : A,B,E

A. "My ex-partner constantly makes fun of my weight." This statement reflects emotional abuse, as body-shaming can damage self-esteem and create feelings of worthlessness. Constant criticism about appearance is a form of psychological manipulation and control.
B. "My ex-partner tells me that I can't do anything right." Emotional abusers often undermine their victims’ confidence by making them feel incompetent or incapable. This type of verbal degradation can lead to self-doubt, anxiety, and depression.
C. "I recently was promoted at work but now I'm unable to work with the same coworkers I was used to working with." While workplace changes can be stressful, this does not indicate emotional abuse. There is no mention of manipulation, belittlement, or control by another person.
D. "I am newly divorced and a single parent." Divorce and single parenting can be challenging, but they do not inherently signify emotional abuse. Emotional abuse involves a pattern of controlling, belittling, or manipulative behavior from another individual.
E. "I suppose I really do need to be on medication, like my ex-partner said." This statement suggests that the ex-partner may have manipulated the client into doubting their own mental stability. Gaslighting—making someone question their own reality—is a common tactic in emotional abuse.
F. "My friend recently passed away." Grief can contribute to emotional distress, but the loss of a friend does not indicate emotional abuse. Emotional abuse involves deliberate psychological harm from another person.

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Correct Answer is A

Explanation

A. Review treatment goals that have been accomplished. In the termination phase of the nurse-client relationship, it is essential to evaluate and review the progress made towards the treatment goals. This helps reinforce the client's achievements and prepares them for future independence.
B. Introduce the concept of discharge planning. While discharge planning is important, it is typically discussed earlier in the nursing process rather than during the termination phase. By this point, the client should already be aware of their discharge plans.
C. Gather data about the client's home situation. This action is more appropriate during the initial assessment phase or when planning care, rather than during termination. The focus should be on reflecting on progress and preparing for discharge.
D. Provide personal contact information to the client for use in case of emergency. This is not appropriate in the termination phase, as it can blur professional boundaries and may not adhere to nursing ethical standards. Instead, referrals to appropriate resources should be provided.

A. Employment assistance B. Psychiatrist C. Social worker D. Spiritual advisor

Correct Answer is C

Explanation

A. Employment assistance. While employment support is valuable for clients with schizophrenia, housing stability should be prioritized first. A client without a place to live may struggle to maintain a job, making housing support the more immediate concern.
B. Psychiatrist. A psychiatrist plays a crucial role in managing schizophrenia through medication and therapy. However, the client’s immediate need is housing, which falls outside the psychiatrist’s primary role and is better addressed by a social worker.
C. Social worker. A social worker can assist with housing placement, financial aid, and community resources for individuals experiencing homelessness. They are the most appropriate referral to help the client secure stable living arrangements.
D. Spiritual advisor. While spiritual guidance may provide emotional support, it does not directly address the client’s urgent need for housing. The primary intervention should focus on securing a safe and stable place to live.

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A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)

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Correct Answer is A

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Correct Answer is C

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