A nurse is caring for a newly admitted female client who has depression and refuses to get out of bed, dress, or participate in group therapy. Which of the following is an appropriate nursing response?
"I will assist you in getting out of bed and getting dressed."
"You can remain in bed until you feel well enough to join the milieu."
"The unit rules state that clients may not remain in bed."
"If you don't participate in your care, you will not get better."
The Correct Answer is A
The response "I will assist you in getting out of bed and getting dressed" demonstrates a supportive and therapeutic approach. It acknowledges the client's current state and offers assistance to engage in self-care activities. By providing support and actively participating in the client's care, the nurse can promote motivation, engagement, and a sense of empowerment.
The response "You can remain in bed until you feel well enough to join the milieu" may enable the client's depressive behaviors and reinforce the avoidance of activities. It does not encourage participation or provide support for the client to engage in therapeutic activities.
The response "The unit rules state that clients may not remain in bed" focuses on enforcing rules rather than addressing the client's underlying emotional state and needs. It may increase resistance and hinder the therapeutic relationship.
The response "If you don't participate in your care, you will not get better" may be perceived as blaming or judgmental. It may increase the client's guilt or sense of failure and does not provide practical support or encouragement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
It is essential for the nurse's safety and well-being to remove themselves from a situation where the client is exhibiting verbally abusive behavior. Leaving the room allows the nurse to distance themselves from the confrontational environment and ensures their physical and emotional safety. Continuing to engage with the client may escalate the situation further and put the nurse at risk.
Incorrect:
B. Maintain eye contact until the behavior stops: Maintaining eye contact may be perceived as confrontational or provocative, which can further escalate the situation. It is advisable for the nurse to disengage from the client's presence to avoid potential harm.
C. Tell the client her behavior is disappointing: Engaging in a confrontational or judgmental response can exacerbate the client's anger or aggression. It is important for the nurse to maintain a professional and therapeutic approach while ensuring personal safety.
D. Punish the client for the behavior: Punishment is not an appropriate response to verbally abusive behavior. It can damage the nurse-client relationship and potentially worsen the client's emotional state. Promoting a supportive and therapeutic environment is key in managing challenging behaviors.
Correct Answer is C
Explanation
Group therapy is a valuable treatment method in mental health settings that offers several benefits. The statement "It establishes a situation where the client can relate to others and share perceptions" highlights one of the primary advantages of group therapy. In a group therapy setting, individuals with similar mental health issues come together to share their experiences, challenges, and perspectives. This process allows clients to realize that they are not alone in their struggles and fosters a sense of belonging and understanding. It can provide comfort, validation, and support as participants gain insight into their own thoughts and feelings through interactions with others.
Incorrect:
A. "It is economical since one staff member can treat many clients at once." While group therapy can be cost-effective in terms of staff resources, its primary goal is not solely based on economic considerations. The focus is on providing a therapeutic environment that promotes growth, support, and interpersonal learning for participants.
B. "It provides a forum to reinforce client teaching regarding medication administration." Although group therapy sessions may occasionally touch upon topics related to medication management, the main purpose of group therapy is not to provide medication education or reinforcement. Individual counseling or psychoeducation sessions are typically more appropriate for that specific purpose.
D. "It enables clients to see that other individuals have mental health issues." While it is true that group therapy allows individuals to witness the experiences of others with mental health issues, the purpose is not limited to simply observing that others have similar struggles. The primary goal is to create a safe space for participants to actively engage, share, and explore their own experiences in a supportive and therapeutic group setting. The focus is on personal growth, insight, and development.
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