A client is diagnosed with dementia that has progressed significantly. Which would be the priority for this client?

Choice A reason: This choice is incorrect. Asking questions that can be answered with one-word responses does not facilitate a deep therapeutic relationship.
Choice B reason: While involving the family can be beneficial, it is not a direct strategy for the nurse-client relationship.
Choice C reason: This is the correct choice. Active listening and summarizing are key components of building a therapeutic relationship, as they demonstrate understanding and validation of the client's feelings and thoughts.
Choice D reason: It is important to ask about suicidal behaviors or thoughts when there are indications of such risks; avoiding these questions can be detrimental to client care.

Choice A reason: Medication is not a defining feature of all mental illnesses. While medications can be a part of treatment for many psychiatric conditions, not all mental illnesses require medication. Some may be managed with psychotherapy, lifestyle changes, or other non-pharmacological interventions.

Choice B reason: Self-awareness or acknowledgment of difficulties is not a prerequisite for a mental illness diagnosis. Many individuals may not realize they have a mental health condition, especially in cases of severe mental illness or when insight is affected.

Choice C reason: The presence of difficulties in functioning that cause significant distress or impairment is a core aspect of mental illness. These difficulties can manifest in various areas such as social, work, or family activities, and are a key factor in diagnosing mental health conditions.

Choice D reason: While physiological symptoms can accompany certain mental health conditions, they are not a defining feature of all mental illnesses. Mental illness primarily involves significant changes in thinking, emotion, and/or behavior.