A nurse is assisting with a group therapy session and notes a client who remains silent.

Which of the following actions should the nurse take?

Ask other group members to limit the number of times they speak

Allow the client extra time to think of a response

Appoint the client to lead the discussion

Tell the client to leave the group if they cannot contribute

Answer and Explanation

Correct Answer : B

a. Asking other group members to limit their speaking may place unnecessary pressure on the quiet client and make them feel singled out. The goal is to create a supportive environment where the client feels comfortable contributing when they are ready. Limiting the other group members' participation does not address the individual needs of the client who is silent.

b. Some clients may need extra time to process information or formulate their responses, particularly in a group setting where they might feel overwhelmed or anxious. Allowing the client extra time respects their pace and encourages participation without pressuring them.

c. Appointing the client to lead the discussion if they cannot contribute are not appropriate actions. These approaches can increase the client's discomfort and create a negative atmosphere, which goes against the principles of group therapy. It is important to foster an inclusive and supportive environment that encourages participation at each person's pace.

d. Telling a client to leave the group if they cannot contribute is not appropriate action. These approaches can increase the client's discomfort and create a negative atmosphere, which goes against the principles of group therapy.

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Correct Answer is C

Explanation

A.Wearing a face mask does not increase the risk of injury. In fact, it helps protect the client from infections, especially if they have concurrent neutropenia, which is common in conditions affecting the bone marrow.

B.Green, leafy vegetables are rich in vitamin K, which plays a role in clotting. However, they do not directly increase the risk of injury in a client with thrombocytopenia. While vitamin K affects clotting factors, thrombocytopenia primarily involves a deficiency of platelets, which are necessary for clot formation.

C.Clients with thrombocytopenia have a low platelet count, which increases their risk of bleeding. Using a firm-bristled toothbrush can cause gum trauma and bleeding, leading to complications such as prolonged bleeding or infection. A soft-bristled toothbrush or an alternative oral hygiene method (such as an oral swab) is recommended to minimize injury.

D.Adequate sleep does not increase the risk of injury. In fact, it may support overall health and immune function.

A. Justice B. Veracity C. Autonomy D. Beneficence

Correct Answer is B

Explanation

Veracity refers to the principle of truthfulness and honesty in communication. By truthfully communicating about the adverse effects of the prescribed medications, the nurse is demonstrating veracity. This ethical principle emphasizes the importance of providing accurate information to the client to promote informed decision-making and autonomy.

Justice refers to fairness and equitable treatment, ensuring that individuals receive what they are due and that resources are distributed appropriately. While justice is an important ethical concept in healthcare, it is not directly applicable to the nurse's communication about adverse effects.

Autonomy refers to respecting the right of individuals to make their own decisions and choices regarding their healthcare. While truthfully communicating about adverse effects supports autonomy, autonomy itself is not the specific ethical concept being exhibited in this scenario. Beneficence refers to the ethical principle of acting in the best interest of the client and promoting their well-being. While providing accurate information about adverse effects can be seen as a form of beneficence, it does not directly address the nurse's truthful communication in this specific scenario.

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A nurse is assisting with a group therapy session and notes a client who remains silent. Which of the following actions should the nurse take?

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A nurse is assisting with a group therapy session and notes a client who remains silent.

Which of the following actions should the nurse take?