An adult male client is admitted to a mental health facility with the diagnosis of depression following the end of a long-term engagement.

He states that he couldn’t “commit to marriage.”. During his admission assessment, the nurse learns that he did not feel guided, nurtured, or accepted by his parents during his childhood.

One of the goals for this client is to help him develop a positive personal identity.

Which intervention should the nurse implement to meet this goal?

Choice B rationale:
A therapeutic relationship in nursing focuses primarily on the client's needs, thoughts, feelings, and goals. This type of relationship is centered around helping the client achieve their desired outcomes by providing support, care, and guidance.
Choice A rationale:
While the nurse plays an essential role in the therapeutic relationship, the primary focus is not on the nurse's needs or experiences.
Choice C rationale:
The plan of care is an important aspect of nursing, but it does not define the primary focus of a therapeutic relationship.
Choice D rationale:
Establishing a friendship is not the focus of a therapeutic relationship. Maintaining professional boundaries is crucial to ensure that the therapeutic relationship remains effective.

Choice A rationale
Diagnostic data is a crucial part of a mental health admission assessment. This includes information about the patient’s current and past mental health issues, as well as any relevant medical conditions.
Choice B rationale
While orientation (awareness of time, place, and person) is often assessed during a mental health admission assessment, it is not the primary component of the assessment.
Choice C rationale
Intelligence testing is not typically included in a mental health admission assessment. The focus of the assessment is on the patient’s mental health needs, not their intellectual abilities.
Choice D rationale
While a diagnosis may be determined as a result of a mental health admission assessment, the diagnosis itself is not included in the assessment. The assessment is used to gather the information needed to make a diagnosis.