A nurse in an acute care mental health facility is talking with a client who is depressed. Which of the following actions should the nurse take?
Express sympathy for the client during interaction.
Assist the client in decision-making by giving sound advice.
Tell the client that he should make direct eye contact when communicating verbally.
Watch the client for nonverbal cues.
The Correct Answer is D
A. Express sympathy for the client during interaction: Sympathy can create a sense of pity and isn't as effective as empathy, which fosters understanding.
B. Assist the client in decision-making by giving sound advice: Giving advice can undermine the client's autonomy and may not be suitable in therapeutic communication.
C. Tell the client that he should make direct eye contact when communicating verbally: Forcing direct eye contact can be intimidating for someone who is depressed.
D. Watch the client for nonverbal cues: Observing nonverbal cues can provide valuable information about the client's emotional state and needs.
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Related Questions
Correct Answer is C
Explanation
A. The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member: Correct. The student nurse has a duty to report any threats of harm to others.
B. The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff: This approach is dishonest and unethical.
C. The student must respect the client's privacy and not tell anyone: The nurse has a duty to report threats to safety.
D. The student nurse must tell the instructor and then ask the instructor to keep it a secret: The instructor also has a duty to report threats to safety.
Correct Answer is D
Explanation
A. "It enables clients to see that other individuals have mental health issues." This option is partially correct because one of the benefits of group therapy is that it helps clients understand they are not alone in their struggles and that others share similar issues. This can be comforting and validating for clients.
B. "It provides a forum to reinforce client teaching regarding medication administration." This is not typically the primary function of group therapy. While medication education may occasionally be part of group discussions, the main focus of group therapy is on interpersonal interactions and support rather than specific teaching about medication.
C. "It is economical, since one staff member can treat many clients at once." Although group therapy can be cost-effective, this reason is secondary to its therapeutic value. The primary goal of group therapy is to provide therapeutic benefits through interaction and shared experiences rather than focusing on cost-efficiency.
D. "It establishes a situation where the client can relate to others and share perceptions." This option is the most accurate. Group therapy allows clients to relate to others with similar issues, share experiences, and gain support, which is fundamental to the therapeutic process.
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