In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

Choice A rationale
The absence of suicidal ideation is a positive outcome for a client diagnosed with a depressive disorder. This indicates that the client is not experiencing thoughts of self-harm or death, which is a common symptom of severe depression.
Choice B rationale
Returning to work or school signifies that the client is able to resume normal activities and responsibilities, indicating an improvement in their mental health.
Choice C rationale
While it’s important for the client to report no side effects from medication, it’s not necessarily an expected outcome for a client diagnosed with a depressive disorder. Antidepressant medications can often have side effects, and managing these is part of the treatment process.
Choice D rationale
Expressing hopefulness for the future is a positive sign as it indicates that the client is not experiencing feelings of hopelessness, a common symptom of depression.
Choice E rationale
Regular sleep patterns, such as sleeping for 8 hours each night, are beneficial for mental health and can help in the management of depressive symptoms.

Choice A rationale
While fostering a social relationship can be a part of therapeutic communication, it is not the primary goal. Therapeutic communication in nursing is patient-centered and should involve a holistic approach, including aspects of psychological, physiological, spiritual, and environmental care of the patient.
Choice B rationale
Focusing on the attitude of the client is not the main goal of therapeutic communication. While understanding the client’s attitude can provide valuable insights into their feelings and perspectives, the primary goal is to build a rapport and focus on the client.
Choice C rationale
Focusing on the client and building a rapport is the main goal of therapeutic communication in nursing. It helps nurses build trust with patients while also helping establish collaborative efforts to promote efficient and effective patient care, improving patient outcomes.
Choice D rationale
Focusing on the staff member and building rapport is not the primary goal of therapeutic communication. The focus should be on the client, their needs, and their experiences.