A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Document the client's refusal of the treatment in the medical record.
Tell the client he cannot refuse the treatment because he was involuntarily committed.
Inform the client that ECT does not require client consent.
Ask the client's family to encourage the client to receive ECT.
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is C
Explanation
Choice A rationale:
While it's true that many people feel ashamed to tell their secrets, this response does not actively encourage the client to open up about their feelings. It acknowledges the feeling but does not promote a therapeutic conversation.
Choice B rationale:
Encouraging the client to tell the nurse what they did might not be the most appropriate response. The client might not be ready to disclose their actions and pushing them to do so could lead to further distress. It's important to establish trust and create a safe space for the client before delving into specific details.
Choice C rationale:
The correct choice. This response is empathetic and supportive while also gently encouraging the client to discuss their feelings. It opens the door for the client to share at their own pace and lets them know that the nurse is willing to listen without judgment.
Choice D rationale:
While it's true that the client shouldn't feel embarrassed to talk to the nurse, this response doesn't actively address the client's feelings or concerns. It's more important to provide a response that acknowledges the client's emotions and invites open communication.
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