A nurse in an acute care mental health unit is speaking with a client who reports that other clients leave trash in the lounge. Which of the following actions should the nurse take?

Call housekeeping to clean up the lounge.

Promise the client that the issue will be discussed at the next community meeting.

Help the client clean up the dayroom.

Encourage the client to discuss the problem with other clients.

Answer and Explanation

The Correct Answer is D

Answer: (D) Encourage the client to discuss the problem with other clients

Rationale:

A) Call housekeeping to clean up the lounge: While involving housekeeping might address the immediate issue, it does not empower the client or involve them in the community aspect of the unit. The goal in a mental health setting is to encourage clients to take an active role in resolving communal issues, fostering responsibility, and promoting interpersonal communication.

B) Promise the client that the issue will be discussed at the next community meeting: While addressing the issue in a community meeting is appropriate, simply promising to bring it up without involving the client may not address the immediate concern or empower the client to take an active role. The client might feel dismissed if their concerns are not immediately acknowledged or acted upon.

C) Help the client clean up the dayroom: Assisting the client in cleaning the lounge may resolve the mess temporarily but does not address the underlying issue of other clients leaving trash. It is more beneficial for the client to engage in communication with their peers to foster a sense of community and mutual respect.

D) Encourage the client to discuss the problem with other clients: Encouraging the client to communicate directly with their peers is a therapeutic approach that fosters assertiveness and problem-solving skills. It allows the client to express their concerns and take responsibility for addressing issues within the community, which is beneficial in their mental health recovery process.

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Correct Answer is A

Explanation

A situational crisis is a type of crisis that occurs in response to a specific event or situation that disrupts a person's usual coping mechanisms. In this case, the sudden death of the client's partner has caused significant distress and an inability to cope with work and family responsibilities. The client's feelings of paralysis and inability to function indicate a response to the specific situation they are facing.

Incorrect:

B- Developmental crisis refers to crises that arise during normal stages of growth and development, such as adolescence or midlife crisis.

C- A maturational crisis involves a crisis that occurs as a result of the normal process of aging and the associated challenges and changes that come with it.

D- Adventitious crisis refers to crises that arise from unpredictable, uncommon events that are out of the ordinary, such as natural disasters or accidents.

A. Suppression B. Intellectualization C. Dissociation D. Projection

Correct Answer is D

Explanation

Projection is a defense mechanism where an individual attributes their own thoughts, feelings, or impulses onto someone else. In this case, the client is attributing the cause of their drug use to their parents not allowing them to get a tattoo. By projecting their desire for a tattoo onto their parents' decision, the client is displacing their own feelings onto an external factor.

Incorrect:

A. Suppression: Suppression involves consciously pushing away or blocking unwanted thoughts, feelings, or impulses. The client's statement does not indicate an attempt to suppress any thoughts or emotions related to their drug use; instead, they are openly discussing the reason for their substance use.

B. Intellectualization: Intellectualization involves using excessive reasoning or logic to avoid acknowledging or experiencing associated emotions. The client's statement does not reflect intellectualization, as they are not overly relying on intellectual processes or attempting to detach themselves from the emotional aspects of their behavior.

C. Dissociation: Dissociation involves a temporary disconnection from thoughts, feelings, or memories to avoid emotional distress. The client's statement does not demonstrate dissociation, as they are connecting their drug use to a specific event and cause.

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A nurse in an acute care mental health unit is speaking with a client who reports that other clients leave trash in the lounge. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client following the recent, sudden death of his partner. The client says, "I feel paralyzed and can't seem to cope with work or family responsibilities anymore." Which of the following types of crisis is the client demonstrating?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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