A nurse is caring for a newly admitted female client who has depression and refuses to get out of bed, dress, or participate in group therapy. Which of the following is an appropriate nursing response?
"I will assist you in getting out of bed and getting dressed."
"You can remain in bed until you feel well enough to join the milieu."
"The unit rules state that clients may not remain in bed."
"If you don't participate in your care, you will not get better."
The Correct Answer is A
The response "I will assist you in getting out of bed and getting dressed" demonstrates a supportive and therapeutic approach. It acknowledges the client's current state and offers assistance to engage in self-care activities. By providing support and actively participating in the client's care, the nurse can promote motivation, engagement, and a sense of empowerment.
The response "You can remain in bed until you feel well enough to join the milieu" may enable the client's depressive behaviors and reinforce the avoidance of activities. It does not encourage participation or provide support for the client to engage in therapeutic activities.
The response "The unit rules state that clients may not remain in bed" focuses on enforcing rules rather than addressing the client's underlying emotional state and needs. It may increase resistance and hinder the therapeutic relationship.
The response "If you don't participate in your care, you will not get better" may be perceived as blaming or judgmental. It may increase the client's guilt or sense of failure and does not provide practical support or encouragement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The statement "Providers are required to warn individuals if the client threatens harm" demonstrates an understanding of the legal exception known as the duty to warn or protect. It means that if a client expresses an intent to harm themselves or others, healthcare providers have a legal obligation to take appropriate actions, which may include notifying potential victims or authorities.
Incorrect:
1. "The legal requirement for client confidentiality does not apply if the client is deceased." - This statement is incorrect. Client confidentiality extends even after a client's death, and healthcare professionals are still expected to maintain confidentiality regarding the client's health information.
2. "Staff members are required to divulge information regarding a client's hospitalization to a client's employer." - This statement is incorrect. Healthcare professionals are required to maintain client confidentiality and cannot disclose a client's health information to their employer without the client's explicit consent or as mandated by specific legal requirements.
3. "Healthcare workers can use client confidentiality for their own legal defense." - This statement is incorrect. Client confidentiality is meant to protect the client's privacy and
maintain trust. It cannot be used by healthcare workers as a defense mechanism in legal matters.
Correct Answer is D
Explanation
Asking the client how they feel about being discharged encourages open communication and provides an opportunity for the client to express their emotions and thoughts about leaving the
hospital. It shows that the nurse values the client's perspective and allows for further discussion and support if needed. This response promotes client-centered care and acknowledges the client's experience during the hospitalization.
The other options are less appropriate:
A. "I know you will do well living out in the community" assumes the client's feelings and may not accurately reflect their experience or emotions about the discharge.
B. "I will send you a note in a few weeks" focuses on the nurse's future action rather than actively engaging with the client's expression of gratitude.
C. "Aren't you excited about being discharged today?" assumes the client's emotional state and may not consider the potential range of emotions the client could be experiencing.
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