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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Delirium is characterized by a sudden onset of confusion and changes in mental status, often occurring over a short period (hours to days). This contrasts with dementia, which has a gradual onset and progressive decline in cognitive function over months or years.
B. In delirium, the ability to perform activities of daily living (ADLs) is often affected because cognitive and attentional impairments can interfere with daily functioning. In contrast, early stages of dementia may still allow for relatively intact ADLs, and in depression, ADLs might be affected due to lack of motivation or energy rather than cognitive impairment.
C. Delirium typically involves visible, pronounced cognitive changes and fluctuating levels of awareness and attention. Clients with delirium usually exhibit overt confusion and disorientation. In contrast, in dementia, cognitive changes are progressive and become more apparent over time.
D. An apathetic demeanor or flat affect is more commonly associated with depression, where mood disturbances such as sadness, lack of motivation, and diminished emotional expression are prevalent. Dementia might also involve changes in affect, but apathy and flat affect are not distinguishing features of delirium.
Correct Answer is D
Explanation
A. This is an inappropriate and potentially harmful response. Restraints should be used as a last resort and only under specific circumstances. In this case, they are not necessary and could escalate the situation.
B. Attempting to reason with an agitated client is unlikely to be effective and could further escalate the situation.
C. Seclusion should be used as a last resort and only under specific circumstances. In this case, it is not necessary and could increase the client's agitation and sense of isolation.
D. This is the most appropriate response as it sets a clear boundary, gives the client time to calm down, and allows the nurse to return when the situation is more stable.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.