A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?
"Your behavior will be disappointing to your provider."
"I'm taking away your privileges for the rest of the week."
"yelling at others is unacceptable."
"Why did you hit another client?"
The Correct Answer is C
A. "Your behavior will be disappointing to your provider." This statement is not helpful because it focuses on the feelings of the provider rather than addressing the behavior itself or its consequences for the client.
B. "I'm taking away your privileges for the rest of the week." This is a punitive response and does not address the immediate issue of the client's behavior. It is more important to address the behavior and its impact rather than imposing a punishment.
C. "Yelling at others is unacceptable." This statement directly addresses the behavior and sets a clear boundary. It is an appropriate way to communicate that the behavior is not acceptable.
D. "Why did you hit another client?" This question assumes the client hit another client, which might not be accurate and can escalate the situation. It’s better to address the observed behavior directly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A nurse should only assess one type of communication when talking to a client: Effective communication involves assessing both verbal and nonverbal cues.
B. Verbal communication is the most important because it’s what the patient says: Nonverbal communication can often provide more information about a client's feelings and attitudes than verbal communication.
C. Nonverbal communication is not important when dealing with mental health illness: Nonverbal communication is crucial in mental health, as it can convey emotions and states that clients may not be able to express verbally.
D. Nonverbal communication is the behavior that accompanies verbal content such as body language, eye contact, facial expression, tone of voice, speed and hesitations in speech, grunts and groans, and distance from the speakers.: Correct. This statement accurately describes the various components of nonverbal communication.
Correct Answer is A
Explanation
A. Ideas of reference: Ideas of reference involve the belief that common elements of the environment are directly related to oneself. The client’s belief that the group’s laughter is about them, despite unrelated content, fits this description.
B. Somatic delusion: Somatic delusions involve false beliefs about one's body or health. The client’s reaction is more related to perceived social interactions rather than beliefs about their own health.
C. Erotomania: Erotomania involves the belief that someone is in love with the individual, which is not relevant to the described situation.
D. Grandeur: Delusions of grandeur involve believing one has exceptional abilities or status. The client’s reaction does not fit this description.
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