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"I can encourage my child to think about what they did that allowed this event to happen.": This statement reflects victim-blaming, which can increase the adolescent’s feelings of guilt and shame. It does not provide supportive or therapeutic guidance and may harm the recovery process.

"I should encourage my child to focus solely on the future.": While future-focused thinking can be helpful eventually, encouraging the adolescent to ignore current emotions may invalidate their feelings and hinder processing the trauma. Supportive care involves acknowledging and addressing present emotions.

"I will have to do all I can to monitor my child's relationships.": Over-monitoring can lead to a sense of mistrust and restrict the adolescent’s autonomy. While safety is important, effective support balances protection with empowerment rather than excessive control.

"Why are you not following your treatment plan?": Asking “why” questions can be perceived as judgmental or confrontational, which may escalate defensive or manipulative behaviors. It does not promote reflection or understanding of consequences.

"You know that manipulation is not the appropriate thing to do.": Labeling the behavior as inappropriate can be perceived as shaming and may provoke resistance or further manipulation. It is less effective than guiding the client toward understanding consequences.

"I can request that your provider decrease the restriction.": Allowing the client to bypass established restrictions undermines boundaries and reinforces manipulative behavior. Maintaining consistency and following established protocols is essential for treatment effectiveness and safety.

"What do you usually do when this happens?": While exploring coping strategies can be helpful, this response does not immediately address the client’s distress or provide reassurance. The client may remain frightened without acknowledgment of their current experience.

"Let's move to a different room to avoid the snakes.": Suggesting action to avoid a hallucination reinforces the false perception and can increase confusion or anxiety. It does not help the client differentiate between reality and hallucination.

"Would you like to play cards?": Offering a distraction can be useful after addressing the hallucination, but initially ignoring the client’s immediate distress may make them feel unheard and unsafe. Immediate acknowledgment is a higher priority.

Prior head trauma: While head trauma can contribute to cognitive changes or neurological deficits, it is not a primary risk factor for developing depressive disorders. It may increase vulnerability but is less directly associated than neurotransmitter imbalances.

High level of norepinephrine: Elevated norepinephrine is generally associated with hyperarousal or anxiety states, not depression. Depressive disorders are more commonly linked to deficiencies rather than excesses of certain neurotransmitters.

Viral infections: While some infections can impact mood indirectly through inflammation or chronic illness, viral infections are not considered a direct risk factor for the development of depressive disorders. They may exacerbate existing depression but are not primary causes.

Sympathize with the client's situation: Expressing sympathy may seem supportive, but it can reinforce the client’s negative outlook rather than promote exploration of feelings or problem-solving. It may also shift focus away from objective assessment of the client’s emotional state.

Remind the client that they will feel better in a few days: Offering reassurance without first understanding the client’s feelings can minimize their experience and may reduce trust. Immediate reassurance is less therapeutic than assessing and validating the client’s current emotional state.

Ignore the client's negative response and leave the room: Ignoring the client’s expression of distress is inappropriate and can damage rapport. It prevents the nurse from gathering essential information needed for emotional support and intervention planning.

"I should ignore the stressors that cause my partner to perform the ritualistic behaviors.": Ignoring triggers does not help manage obsessive-compulsive behaviors and may allow anxiety to escalate. Effective treatment involves recognizing triggers and gradually helping the client manage or tolerate them through therapy.

"To prevent stress, we should avoid trying to make a schedule for daily activities.": Structured routines are important for clients with OCD to reduce unpredictability and associated anxiety. Avoiding a schedule may worsen symptoms rather than supporting treatment goals.

"I should expect my partner to begin exhibiting paranoid behaviors.": Paranoia is not a typical feature of obsessive-compulsive disorder. Expecting paranoid behaviors reflects a misunderstanding of the disorder and does not align with evidence-based treatment planning.

The client is refusing to take their medication: Medication refusal can worsen symptoms over time, but it does not present an immediate threat to the client or others. While important to address, it is secondary to safety concerns posed by command hallucinations.

The client is unable to initiate personal grooming tasks: Difficulty with self-care affects the client’s hygiene and overall health but does not create an immediate risk of harm. Interventions to assist with grooming are supportive and lower priority compared to safety threats.

The client is experiencing flight of ideas: Flight of ideas reflects pressured speech or rapid thought patterns, which can indicate mania or acute exacerbation. While it requires monitoring and intervention, it does not present an immediate danger compared to command hallucinations.