A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?
Share personal information to help the client feel comfortable.
Set boundaries with the client regarding personal space.
Tell the client if she reminds the nurse of a personal friend or relative.
Develop an emotional commitment to the client.
The Correct Answer is B
A. Sharing personal information can blur the professional boundaries and hinder the therapeutic relationship. The nurse's focus should be on the client's needs and well-being.
B. Maintaining professional boundaries is essential in therapeutic relationships. It helps to establish trust and ensures the nurse can provide effective care without becoming emotionally involved.
C. Comparing the client to someone else can be misleading and inappropriate. It's important to focus on the client as an individual and avoid making comparisons.
D. While empathy and compassion are crucial in nursing, developing an emotional commitment can compromise objectivity and hinder the nurse's ability to provide effective care.
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Related Questions
Correct Answer is B
Explanation
A. Dementia is not typically caused by sudden environmental changes. Instead, it is a chronic condition that develops gradually over time due to neurodegenerative diseases, such as Alzheimer's disease, vascular dementia, or Lewy body dementia.
B. Dementia is characterized by a gradual decline in cognitive function, including memory, thinking, and reasoning skills. The progression of dementia is typically slow and leads to worsening symptoms over time. Currently, most types of dementia are considered irreversible, meaning that the damage to the brain is not reversible and the condition will continue to progress.
C. Dementia is a progressive condition that develops gradually, often over months or years. It is not characterized by a sudden onset. Sudden onset of cognitive symptoms is more indicative of delirium, which can be caused by acute medical conditions or other factors.
D. Dementia generally does not involve an altered level of consciousness. Instead, it primarily affects cognitive functions such as memory, reasoning, and orientation while consciousness remains clear.
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.
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