During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?
The client will make statements that he feels less depressed by the end of the first day of admission.
The client will express and demonstrate increases in energy by the third day of admission.
The client will reduce self-rating on the depression scale by 10% by the second day of admission.
The client will demonstrate increased interaction with other clients by discharge.
The Correct Answer is C
Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.
Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.
Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.
Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.
Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
This response encourages the client to share her thoughts and concerns about returning to school, which can help the nurse to understand the client's perspective and provide support and guidance as needed. It also shows that the nurse is actively listening and interested in what the client has to say, which can help to build trust and rapport in the therapeutic relationship.
Responses a and b are positive but not necessarily helpful in addressing the client's concerns.
Response c is potentially intrusive and could make the client feel uncomfortable or judged.
Correct Answer is A
Explanation
Transference is a phenomenon in which a person unconsciously redirects feelings and emotions from one person to another. In this case, the client is redirecting feelings and emotions associated with his stern aunt onto his assigned nurse. This can affect the nurse-client relationship and should be addressed in therapy.
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