The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

Encourage descriptions of perceived failures

Set limits on manipulative behaviors

Provide activities that can be accomplished

Teach aggressive communication skills

Answer and Explanation

The Correct Answer is C

A.   Encouraging descriptions of perceived failures may further exacerbate the client's poor self- esteem and is not a therapeutic intervention.
B.   While setting limits is important in managing behavior, it may not directly address the underlying issue of poor self-esteem.
C.   Providing activities that can be accomplished can help boost the client's confidence and self- esteem.
D.   Teaching aggressive communication skills is not appropriate and may contribute to further negative self-perception.

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Correct Answer is C

Explanation

A. While providing reassurance is important, this response does not directly address the client's statement about future attempts.
B. This response may minimize the seriousness of the client's statement and is not the best way to address the situation.
C. This response directly addresses the client's statement, seeking clarification on her plans. It is important to assess the level of risk and ensure the client's safety.
D. While expressing empathy and highlighting the client's positive qualities can be helpful, it may not directly address the immediate concern of the client's statement about future attempts.

A. Neologisms B. Echolalia C. Pressured speech D. Clang association

Correct Answer is D

Explanation

A. Neologisms refer to made-up words or phrases that have meaning only to the individual. The client's response does not include invented terms but rather consists of real words that are nonsensically grouped.

B. Echolalia is the repetition of words or phrases spoken by others. The client's response does not reflect repetition of the nurse's words but rather a disjointed response of their own.

C. Pressured speech involves rapid and often incoherent speech that reflects a sense of urgency. The client's response lacks the rapid flow characteristic of pressured speech.

D. Clang association is characterized by speech in which the individual connects words based on their sound rather than their meaning. The client's response ("medications, abbreviations, deviations, mediations") demonstrates this pattern, as the words are linked by similar sounds rather than by content or coherent thought.

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The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

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Naxlex Comprehensive Predictor Exams

A client is hospitalized following a suicide attempt after breaking up with her significant other. The client says to the nurse, "When I get out of here, I'm going to try this again, and next time I'll get it right?" Which is the best response by the nurse?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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