A nurse is conducting a group therapy session for clients who have anxiety disorders. The nurse notices that one of the clients is very quiet and does not participate in the group discussion. Which of the following actions should the nurse take?
Ask open-ended questions to encourage the client to share their thoughts and feelings
Use silence to allow the client time to process their emotions and join in when ready
Give positive feedback to other clients who are actively participating in the group
All of the above
The Correct Answer is D
Correct answer: D) All of the above
Rationale: The nurse should use a combination of strategies to facilitate the client's participation in the group therapy session. Asking open-ended questions can help the client express their opinions and perspectives, as well as stimulate the group dialogue. Using silence can provide the client with a safe and nonjudgmental space to reflect and communicate at their own pace. Giving positive feedback to other clients can reinforce their engagement and motivation, as well as model appropriate social skills and behaviors for the quiet client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct answer: B) Obtain informed consent from the client or a legal guardian
Rationale: ECT is an invasive procedure that involves inducing a seizure in the brain using electrical currents. It has potential risks and benefits that the client or a legal guardian must be informed of before giving consent. The nurse has a responsibility to ensure that the consent is obtained and documented.
Incorrect options:
A) Administer a muscle relaxant and an anesthetic agent - This is not a nursing intervention, but a medical intervention that is performed by the anesthesiologist or another qualified provider.
C) Monitor the client's vital signs and oxygen saturation - This is an important nursing intervention during and after ECT, but not before. The nurse should monitor the client for any changes in blood pressure, heart rate, rhythm, and oxygenation during the procedure and recovery.
D) Ensure that the client has an empty stomach and bladder - This is a necessary precaution to prevent aspiration and urinary incontinence during ECT, but it is not the most important nursing intervention before ECT.
Correct Answer is B
Explanation
Rationale: A client with bipolar disorder, manic episode, typically exhibits increased energy and activity level, along with other symptoms such as euphoria, grandiosity, impulsivity, distractibility, and pressured speech.
Incorrect options:
A) Decreased appetite and weight loss - These are more likely to be seen in a client with bipolar disorder, depressive episode, or another mood disorder such as major depressive disorder.
C) Social withdrawal and isolation - These are also more indicative of a depressive episode or another mood disorder that affects the client's interest and motivation to interact with others.
D) Low self-esteem and hopelessness - These are signs of negative self-evaluation and pessimism that are common in depressive disorders, not manic episodes.
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