A nurse is caring for a client who refuses to attend group therapy. Which of the following statements should the nurse make?
"If I were you, I would go to a few therapy sessions to give them a try."
"One of my friends went to group therapy and they improved significantly."
"You have the right to refuse to attend group therapy."
"You should go to group therapy if you want to get better.
The Correct Answer is C
A. "If I were you, I would go to a few therapy sessions to give them a try": This statement is not appropriate because it places the nurse's personal perspective onto the client, potentially pressuring them. It does not respect the client's autonomy in making their own decisions.
B. "One of my friends went to group therapy and they improved significantly": Sharing personal experiences can make the client feel uncomfortable and may not be relevant to their own situation. It can also create a sense of comparison, which is not helpful.
C. "You have the right to refuse to attend group therapy": This statement is respectful of the client's autonomy and acknowledges their right to make decisions about their care. It empowers the client and maintains their dignity while respecting their refusal.
D. "You should go to group therapy if you want to get better": This statement may feel coercive, as it implies that the client "should" attend therapy to improve. It might lead the client to feel guilty or pressured rather than supported in their choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Secure the client in bed by tightly tucking in sheets: Tightly tucking sheets is not an appropriate use of restraints and may increase the risk of injury. Restraints should be applied according to proper guidelines, and they should allow the client to move as much as is safe.
B. Obtain a prescription to renew the restraint prescription every 48 hr: Restraint prescriptions must be renewed every 24 hours, not every 48 hours, to ensure ongoing assessment of the client's need for restraints.
C. Document the interventions used before applying restraints: It is important to document all interventions attempted before applying restraints. This includes any less restrictive measures that were tried and failed before restraints were applied, in line with best practices and legal requirements.
D. Delegate assistive personnel to check on the client regularly: While assistive personnel can help with monitoring, the nurse is ultimately responsible for ensuring the client is checked on regularly and for assessing the safety and well-being of the client in restraints.
Correct Answer is B
Explanation
A. A medication group: A medication group can help clients understand their medications, but it may not be the best for helping them adapt to the health care setting. Medication groups typically focus on pharmacological aspects rather than emotional or social adaptation.
B. A community meeting: A community meeting is an appropriate resource to help a newly admitted client adjust to the health care setting. These meetings allow clients to connect with others, learn about the structure of the facility, and share their experiences, which aids in their social and emotional adaptation.
C. A self-help meeting: Self-help meetings, such as those for addiction or mental health disorders, are useful for ongoing recovery, but they may not specifically help the client adapt to the new environment of a mental health facility.
D. A symptom-management group: While symptom-management groups can be helpful for clients to manage their mental health conditions, they do not specifically address adaptation to the healthcare setting, which is the primary need for a newly admitted client.
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