Building trust is especially critical to developing a therapeutic relationship with an anxious client. Which of the following interventions contributes to this trust?
Leave the client alone during a new experience.
Give support in nonverbal ways.
Be available and attentive to the client's requirements.
Give detailed explanations and do not repeat them frequently.
The Correct Answer is C
A. Leave the client alone during a new experience. Leaving an anxious client alone during a new experience may increase their anxiety and hinder the development of trust. Clients need support and reassurance during unfamiliar situations.
B. Give support in nonverbal ways. Nonverbal support, such as a calm presence or gentle touch, can be comforting and help build trust without overwhelming the client with too much verbal communication.
C. Be available and attentive to the client's requirements. Being available and attentive shows the client that the nurse is reliable and responsive to their needs, which helps build trust in the therapeutic relationship.
D. Give detailed explanations and do not repeat them frequently. While providing detailed explanations is important, failing to repeat them as needed could leave the client feeling unsupported or confused, especially if they need reassurance.
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Related Questions
Correct Answer is D
Explanation
A. Place the client on his back, remove dangerous objects, and insert a bite block. Placing a client on their back during a seizure increases the risk of airway obstruction, and inserting a bite block is not recommended as it can cause injury.
B. Place the client on his side, remove dangerous objects, and insert a bite block. While positioning the client on their side is correct, inserting a bite block is contraindicated due to the risk of injury to the client.
C. Place the client on his back, remove dangerous objects, and hold down his arms. Restraining a client during a seizure is not recommended as it can cause injury. Placing the client on their back also poses a risk of airway obstruction.
D. Place the client on his side, remove dangerous objects, and protect his head. Positioning the client on their side helps maintain airway patency, removing dangerous objects prevents injury, and protecting the head helps prevent head trauma during the seizure.
Correct Answer is D
Explanation
A. Disturbed body image related to depression: While body image disturbances can occur with depression, it is not the primary concern following a suicide attempt.
B. Imbalanced nutrition: Less than body requirements related to depression: While nutritional imbalances may be present in clients with depression, the most pressing concern after a suicide attempt is safety.
C. Hygiene self-care deficit related to depression: A self-care deficit is often present in depression but is not the most urgent diagnosis after a suicide attempt.
D. Risk for self-directed violence related to depression: This is the most appropriate nursing diagnosis following a suicide attempt, as it directly addresses the client’s risk of harm to themselves.
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