After several days of being despondent and nonverbal, a female client with depression begins to talk and exhibit energy. Which action should the nurse implement?
Involve her in group therapy.
Praise her for the new behavior.
Observe her actions continuously.
Offer her a choice of activities.
The Correct Answer is C
Choice A rationale: Involving her in group therapy may be premature, as the client has just started to exhibit changes in behavior. Continuous observation is necessary to assess the nature and sustainability of these changes.
Choice B rationale: Praising her for the new behavior is positive, but continuous observation is essential to monitor for any signs of escalating or problematic behavior.
Choice C rationale: Observing her actions continuously is the most appropriate action at this point. The nurse needs to monitor the client closely to assess the nature of the changes, ensuring they are not indicative of increased agitation or potential harm.
Choice D rationale: Offering her a choice of activities may be appropriate once the nurse has a better understanding of the clien's current state. However, continuous observation is the priority.
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Related Questions
Correct Answer is D
Explanation
A: While eating nutritious meals is important for recovery, it is not the highest priority because it addresses a physical need without directly addressing the underlying psychological issues.
B: Positive self-esteem is crucial for the recovery from anorexia nervosa. It addresses the core psychological challenges of the disorder, helping the client to develop a healthier self-image and relationship with food.
C: Communication of love and concern by the family is supportive, but it does not directly facilitate the client's personal development of self-esteem and self-worth, which are essential for long-term recovery.
D: Family therapy is beneficial for systemic healing and support, but the individual's self-esteem needs to be established as a priority to empower personal change and recovery.
Correct Answer is A
Explanation
Choice A rationale: Changes in thought patterns related to problem-solving demonstrate the effectiveness of cognitive-behavioral techniques. Shifting from hopelessness to active problem-solving reflects positive progress.
Choice B rationale: Describing how the family can resolve problems may involve other therapeutic modalities, but it is not specific to evaluating the effectiveness of cognitive behavioral techniques.
Choice C rationale: Relating insight into problematic relationships is a broad goal and may not specifically measure the impact of cognitive-behavioral techniques. Choice D rationale: Demonstrating a healthy relationship with the husband is an important goal but is not directly related to the evaluation of cognitive-behavioral techniques.
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