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 A
Explanation
A. This is the defense mechanism where a person refuses to acknowledge a painful reality. In this case, the client is denying their illness and the need for hospitalization.
B. This involves reverting to childlike behaviors as a way to cope with stress. It doesn't fit the scenario.
C. This is attributing one's own unacceptable thoughts or feelings onto others. There's no evidence of this in the given situation.
D. This involves creating excuses to justify unacceptable behavior. The client is not justifying their behavior but denying it.
Correct Answer is B
Explanation
A. This response may come across as dismissive and does not address the client’s immediate distress or concerns. It could potentially invalidate the client's feelings and exacerbate their agitation. Effective communication should involve acknowledging the client's distress and providing a supportive response.
B. This response acknowledges the client's emotional state and invites them to express their concerns. It shows empathy and provides an opportunity for the nurse to understand the underlying issue driving the client's need to see the provider. This approach helps in validating the client's feelings and addressing their immediate needs, which can be important in managing their symptoms.
C. This response may come across as dismissive or neglectful of the client’s immediate needs. It does not address the client’s current distress and could lead to increased anxiety or frustration. It’s important to address the client’s concerns in the moment rather than delaying the response.
D. This response may seem dismissive and does not offer support or understanding of the client's current emotional state. It may also fail to address the immediate urgency or distress the client is experiencing. It is important to engage with the client empathetically and address their concerns promptly.
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