When providing care to a client who consistently atempts to manipulate the staff, the nurse can best maintain the therapeutic milieu by doing what?
Instructing the staff to enforce all unit rules consistently.
Encouraging questions and discussing the client's concerns.
Promoting social ostracism of the client exhibiting manipulation.
Scheduling staff one-on-one time with the client.
The Correct Answer is A
Choice A reason: This is the correct choice. Consistent enforcement of rules prevents manipulation and maintains a stable environment for all clients.
Choice B reason: While encouraging questions and discussion is generally positive, it does not directly address manipulative behavior.
Choice C reason: Promoting social ostracism is not therapeutic and can harm the client's mental health and recovery.
Choice D reason: Scheduling one-on-one time could be beneficial, but it does not address the issue of manipulation towards the staff.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Suggesting a move to a group home based on symptom presence may not be appropriate. Quality of life can be improved in various living situations, and the decision should be individualized.
Choice B reason: This statement is supportive and realistic, acknowledging that while symptoms may persist, quality of life can still improve with ongoing treatment.
Choice C reason: This question could be perceived as confrontational. It's important to discuss the treatment plan's value in a way that is supportive and understanding.
Choice D reason: The medical model aims to reduce symptoms, but it is not always possible to eliminate them entirely. Recovery involves managing symptoms and improving quality of life.
Correct Answer is B
Explanation
Choice A reason: Stopping the client from performing rituals can increase anxiety and distress. Rituals are a coping mechanism for individuals with OCD, and abruptly preventing them can lead to a significant increase in anxiety.
Choice B reason: Allowing the client to perform rituals can provide a sense of security and control, which is important for individuals with OCD. Over time, with appropriate therapy, the need for these rituals can be reduced.
Choice C reason: While encouraging the client to talk about the purpose of the rituals can be part of cognitive-behavioral therapy, it may not immediately increase the client's sense of security. This approach is more about understanding and eventually managing the compulsions.
Choice D reason: Distracting the client from rituals with other activities can be a helpful strategy in therapy but may not directly increase the client's sense of security. It can be used as a part of a comprehensive treatment plan to gradually reduce the reliance on rituals.
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