The mental health nurse observes that a female client with delusional disorder carries some of her belongings with her because she believes that others are trying to steal them. Which nursing action will promote trust?

Explain that these beliefs are related to her illness.

Explain that distrust is related to feeling anxious.

Initiate short, frequent contacts with the client.

Offer to keep the belongings at the nurse's desk.

Answer and Explanation

The Correct Answer is C

(A) Explain that these beliefs are related to her illness: While it is important to educate the client about their illness, directly challenging their delusions may increase distrust and anxiety. This approach might make the client feel misunderstood and less likely to trust the nurse.

(B) Explain that distrust is related to feeling anxious: This explanation might not be well-received by the client and could be perceived as dismissive of their concerns. It may not effectively address the client’s immediate need for trust and reassurance.

(C) Initiate short, frequent contacts with the client: This approach helps build trust through consistent and reliable interactions. It allows the nurse to establish a rapport without overwhelming the client, thereby promoting a sense of safety and trust. Regular, brief interactions can help the client feel more comfortable and secure.

(D) Offer to keep the belongings at the nurse’s desk: This action might be perceived as an attempt to take control of the client’s belongings, which could reinforce their delusions and decrease trust. It is important to respect the client’s need to keep their belongings close to them.

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Correct Answer is A

Explanation

A) Recalling methods that were most successful in the past is an effective coping strategy. This approach encourages the client to identify and utilize strategies that have previously helped them manage their depression. It fosters a sense of agency and can inspire motivation to engage in positive behaviors again.

B) Turning to other activities to take one's mind off of the issues may provide temporary relief, but it does not address the underlying issues related to depression. This strategy could lead to avoidance rather than active problem-solving and engagement with life.

C) Reaching out to family and friends about feelings of abandonment is important for social support; however, it may not be the first step in the coping strategy. The client may need to develop skills to articulate their feelings before reaching out, and it also doesn’t directly address their current disengagement from activities.

D) Relaxing and reducing the amount of effort to solve the problem may feel appealing but could reinforce avoidance behaviors. It’s crucial to encourage the client to engage actively with their emotions and challenges instead of stepping back entirely. The goal should be to empower the client to take small, manageable steps toward re-engagement with life, making option A the most suitable choice.

A. Tell the client that irrational thinking is a symptom of schizophrenia. B. Obtain an order for a tube feeding for the client. C. Assure the client that all food served in the hospital is safe to eat. D. Provide the client with food in unopened containers.

Correct Answer is D

Explanation

A) Telling the client that irrational thinking is a symptom of schizophrenia may come across as dismissive and could further alienate the client. While it's important to acknowledge the symptoms, this approach does not provide a practical solution to the immediate concern of the client refusing to eat.

B) Obtaining an order for tube feeding should be a last resort. While nutritional intake is essential, invasive interventions should only be considered if the client’s refusal to eat poses an immediate health risk and after other less invasive strategies have been attempted.

C) Assuring the client that all food served in the hospital is safe to eat might be well-intentioned, but it is unlikely to alleviate the client's fears. The client is experiencing

delusions, and simply stating that the food is safe may not be convincing.

D) Providing the client with food in unopened containers is the most appropriate intervention. This respects the client's concerns about food safety while offering a solution that allows them to eat without directly confronting their delusions. Unopened containers can provide a sense of security and control for the client, potentially encouraging them to consume food without feeling threatened.

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The mental health nurse observes that a female client with delusional disorder carries some of her belongings with her because she believes that others are trying to steal them. Which nursing action will promote trust?

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Correct Answer is A

Explanation

Correct Answer is D

Explanation

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