A nurse is collecting data from a new client.
Which of the following Questions should the nurse include when determining the client's psychosocial status?

Choice A rationale: Therapeutic communication focuses on open-ended statements that encourage the client to express feelings. Exploring the relationship allows the nurse to understand the client's grief and fosters a supportive environment.

Choice B rationale: While this statement is empathetic, it is a non-therapeutic generalization. It can inadvertently shut down the conversation by labeling the client's unique experience as a common or expected occurrence.

Choice C rationale: This is non-therapeutic advice that encourages avoidance. Staying busy prevents the client from moving through the necessary stages of the grieving process and can lead to suppressed or complicated grief.

Choice D rationale: Although support groups are helpful, this is a closed-ended question that focuses on a solution rather than the client's current feelings. The nurse should first prioritize active listening and exploration.

Choice A rationale

Keeping the client's room dark at night can worsen delirium by reducing environmental cues and potentially increasing disorientation and fear. Clients with delirium benefit from a well-lit environment that helps them maintain a sense of reality and reduces the risk of misinterpreting stimuli.

Choice B rationale

Limiting the client's need to make decisions can decrease their sense of control and autonomy, potentially increasing agitation and frustration associated with delirium. While simplifying choices is helpful, completely eliminating decision-making can be counterproductive to their engagement and orientation.

Choice C rationale

Discouraging visitation from the client's family can increase the client's feelings of isolation and anxiety, which can exacerbate delirium. Familiar faces and voices can provide comfort and reassurance, aiding in orientation and reducing agitation.

Choice D rationale

Providing a consistent daily routine helps to orient the client with acute delirium to time and place, reducing confusion and anxiety. Predictable patterns of activity, such as meals, hygiene, and rest, offer structure and familiarity, which can stabilize cognitive function and promote a sense of security.