A nurse is planning care for a client who practices Orthodox Judaism and is observing the Passover holiday. Which of the following actions should the nurse include in the plan of care?

Choice A reason: Confirming the client’s perception of the crisis is the first step, establishing trust and understanding their emotional state, critical for effective intervention. This guides tailored support, essential for addressing depression in a situational crisis, ensuring therapeutic communication, and promoting coping in mental health care settings.

Choice B reason: Teaching relaxation techniques is useful but secondary to understanding the client’s crisis perception, which informs interventions. Assuming techniques are first risks misaligned support, potentially escalating distress, critical to avoid in ensuring effective crisis management for clients with depression experiencing situational stressors.

Choice C reason: Identifying strengths supports coping but follows confirming the client’s crisis perception, which sets the therapeutic foundation. Prioritizing strengths risks overlooking the client’s immediate emotional needs, potentially delaying effective intervention, critical to prevent in managing depression during a situational crisis in mental health care.

Choice D reason: Notifying a support person is secondary to understanding the client’s crisis perception, which guides initial intervention. Assuming notification is first risks bypassing the client’s perspective, potentially reducing trust, critical to avoid in ensuring client-centered care for depression in situational crisis management.

Choice A reason: Blaming the boss for retirement reflects projection, not compensation, which involves substituting strengths for losses. Gardening competitions show compensation. Assuming blame is compensation risks misidentifying coping, potentially missing adaptive strategies, critical to avoid in supporting psychological adjustment in recently retired clients.

Choice B reason: Expressing relief about retirement reflects rationalization, not compensation, where new activities offset losses. Gardening competitions indicate compensation. Assuming relief is compensation risks misunderstanding coping, potentially overlooking adaptive behaviors, critical to prevent in assessing psychological health in clients post-retirement.

Choice C reason: Journaling about accomplishments reflects sublimation, not compensation, which involves new activities like gardening to offset retirement loss. Assuming journaling is compensation risks misinterpreting coping, potentially missing adaptive strategies, critical to avoid in supporting emotional adjustment in clients navigating retirement transitions.

Choice D reason: Entering gardening competitions post-retirement reflects compensation, substituting new achievements for lost work identity, promoting psychological adjustment. This adaptive coping is critical for mental health, supporting self-esteem, and ensuring positive adaptation, essential for assessing effective coping strategies in clients recently retired from their careers.