After experiencing increasing conflict in the home, a social worker calls and schedules a therapy meeting. A 24-year-old, his sister, his mother, and the mother’s live-in boyfriend are asked to attend the therapy meeting. Who is the “client” who will be treated during this session?

Choice A reason:

“It is now time for you to bathe. Do you want to wear the red or green shirt?” This statement is therapeutic as it provides clear instructions and offers the client a choice, promoting autonomy and cooperation. It addresses the need for hygiene in a respectful and supportive manner.

Choice B reason:

“Do you really think it is okay not to bathe? What is going on with you?” This statement is confrontational and judgmental. It may make the client feel defensive or ashamed, which can hinder the therapeutic relationship and the client’s willingness to engage in self-care.

Choice C reason:

“This is it! You are getting a bath! There are three of us here to bathe you!” This statement is coercive and does not respect the client’s autonomy. Forcing the client to bathe without their consent can escalate the situation and damage trust between the client and the nurse.

Choice D reason:

“I’m going to ignore your lack of self-care because it is an aspect of the disorder.” Ignoring the client’s hygiene issues is not therapeutic. While it is important to understand that self-care deficits can be part of the disorder, the nurse should still address these issues in a supportive and respectful manner.

Choice A reason:
Recent marriage is generally considered a protective factor against suicide rather than a risk factor. Marriage can provide emotional support and stability, which can reduce the risk of suicidal behavior. However, the quality of the relationship and other individual factors should also be considered.
Choice B reason:
Age greater than 55 is a recognized risk factor for suicide, particularly among men. Older adults may face multiple stressors such as chronic illness, loss of loved ones, and social isolation, which can increase the risk of suicide. It is important to monitor and support older adults who may be at risk.
Choice C reason:
Having a bachelor’s degree is not typically associated with an increased risk of suicide. In fact, higher educational attainment is often linked to better mental health outcomes and access to resources. However, individual circumstances and stressors should always be considered.
Choice D reason:
Male gender is a significant risk factor for suicide. Men are more likely to die by suicide compared to women, although women may attempt suicide more frequently. This gender disparity is attributed to various factors, including the methods used and societal expectations around expressing emotions.
Choice E reason:
A diagnosis of schizophrenia is a known risk factor for suicide. Individuals with schizophrenia may experience severe symptoms, including delusions and hallucinations, which can contribute to suicidal thoughts and behaviors. It is crucial to provide comprehensive care and support to individuals with this diagnosis to mitigate the risk of suicide.