A nurse is caring for a client who has depression. When the nurse encourages the client to join an activity the client states, "What's the use?" Which of the following is an appropriate nursing intervention?
Tell the client that she has a self-defeating attitude and it will only make her feel worse.
Sit down with the client and ask her why she doesn't want to participate
Convince the client how helpful it will be to engage in the activity
Tell the client that it is time for the activity, and accompany her to the activity.
The Correct Answer is B
A. This response is accusatory and invalidates the client's feelings. It's important to approach the client with empathy and understanding.
B. It shows the nurse's interest and willingness to understand the client's perspective. By asking open- ended questions, the nurse can explore the reasons behind the client's reluctance and offer support accordingly.
C. While it may be beneficial for the client to participate in activities, pressuring them or convincing them might not be effective. It's important to respect the client's feelings and work with them to find ways to overcome their reluctance.
D. This approach is directive and dismissive of the client's feelings. It's essential to involve the client in the decision-making process and address their concerns before expecting them to participate in an activity.
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Related Questions
Correct Answer is C
Explanation
A. While adolescents may have a high rate of suicide attempts, their attempts are not typically as fatal as those in older adults. This is often due to less lethal methods being used, lower intent, and less access to means. Suicide attempts among adolescents tend to have a lower success rate compared to older adults.
B. Young adults also have a notable rate of suicide attempts, but the lethality of these attempts is generally lower compared to older adults. The methods used by young adults may not be as immediately fatal or decisive as those used by older adults.
C. Older adults have a higher success rate in suicide attempts, with a significant portion of attempts resulting in death. One reason for this is that older adults are more likely to use highly lethal methods, such as firearms or overdoses of medication. Additionally, older adults may have a more determined intent to die, and their methods are often more effective at causing death.
D. Middle-aged adults do have a significant rate of suicide attempts, and their attempts are more likely to be fatal than those of adolescents or young adults. However, the success rate is still generally lower than that of older adults.
Correct Answer is A
Explanation
A. A no-harm contract is a useful tool. However, it's essential to remember that it's not a guarantee against self-harm. Close observation remains crucial, as suicidal ideation can fluctuate.
B. Antidepressants can be part of the treatment plan but they are not an immediate solution and require careful monitoring. The priority is ensuring the client's safety.
C. This assessment should have already been conducted before establishing the no-harm contract. Ongoing assessment is important, but immediate observation takes precedence.
D. Reducing observation could put the client at risk. Continuous monitoring is necessary to prevent self- harm.
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