A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?
Giving the client choices of activities.
Playing a game of chess with the client.
Encouraging decision-making.
Spending time sitting with the client.
The Correct Answer is D
a. Giving the client choices of activities: While providing choices can be empowering for clients, it might be overwhelming for someone with severe depression, who may struggle with decision-making and motivation.
b. Playing a game of chess with the client: This could be too mentally demanding and may not be appropriate for a client with severe depression, who may have difficulty concentrating or engaging in complex activities.
c. Encouraging decision-making: Encouraging decision-making is important in general, but clients with severe depression may find it difficult and stressful to make decisions. This approach should be used cautiously and based on the client's readiness.
d. Spending time sitting with the client: This is correct and therapeutic. Spending time with the client without the pressure to engage in conversation or activities can help the client feel supported and understood. It fosters trust and shows that the nurse is there to provide support, which is especially important for someone experiencing severe depression.
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Related Questions
Correct Answer is C
Explanation
A.While it is important to understand changes in behavior, the sudden shift from depression to a cheerful state could be indicative of a potential risk, such as a plan to self-harm, particularly if the client is showing improved mood quickly.
B.It is not appropriate to reward a change in behavior without understanding the underlying reasons for the change. The sudden improvement in mood could be a sign of a potential risk, such as suicidal ideation or a temporary lift in mood before a possible crisis.
C.This is a crucial intervention. A sudden change in mood can sometimes be associated with an increased risk of self-harm or suicidal ideation, particularly if the client’s mood improves significantly before a more stable improvement in their depressive symptoms. Continuous monitoring helps ensure the client’s safety.
D.This could be premature and potentially unsafe, given the sudden and significant change in the client's condition. It is more important to ensure that the client’s mood change is not indicative of an underlying risk before allowing unsupervised activities.
Correct Answer is A
No explanation
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