A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?

Sit with the client and offer simple, direct information.

Have the client attend group therapy immediately.

Take the client on a tour of the unit and introduce him to all the staff members on duty.

Explain the unit policies to the client and answer any questions he might have.

Answer and Explanation

The Correct Answer is A

A.   For a client with severe depression, a calm and direct approach is beneficial. Sitting with the client and offering simple, clear information can help establish trust and rapport.
B.   Attending group therapy immediately might overwhelm the client, especially if they are newly admitted and experiencing severe depression.
C.   Taking the client on a tour and introducing all staff members might be overwhelming or excessive for someone with severe depression.
D.   While explaining unit policies is important, a direct informational approach might be more effective initially given the severity of the client's condition.

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Correct Answer is C

Explanation

A. Dismissing the client's statement as manipulation without proper assessment can be dangerous.
B. While involving family support is important, this response doesn’t address the immediate safety concerns of the client.
C. Asking about suicidal plans helps assess the level of risk and informs subsequent actions to ensure the client's safety.
D. The situation requires more immediate assessment and action due to the expressed suicidal ideation.

A. The goal is to increase your subjectivity about thoughts that govern your behavior." B. "The therapist will help you look at ideas and beliefs you have about yourself." C. "You may be given homework assignments." D. The therapist will be active and questioning."

Correct Answer is ["B","C"]

Explanation

A. The term "subjectivity" might not be the most suitable word here and might not accurately represent cognitive-behavioral therapy's goals.
B. Cognitive-behavioral therapy involves exploring and challenging beliefs and perceptions about oneself, making this an appropriate response.
C. Homework assignments are often part of cognitive-behavioral therapy to practice skills or implement strategies outside of therapy sessions.
D. The statement is true regarding the therapist's active role but might not encompass the entire essence of cognitive-behavioral therapy.

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A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

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