The night nurse reports that the client, who is hospitalized with major depressive disorder, has been unable to sleep until late at night.

The client gets up, paces the hallway, wrings their hands, and appears teary.

Which interventions should the nurse advocate to add to the care plan? Select all that apply.

Choice A rationale
A treatment plan serves as an instrument for communication and coordination of care among the healthcare team. It ensures that all members of the team are on the same page regarding the client’s care.
Choice B rationale
The treatment plan helps in evaluating the effectiveness of interventions. By comparing the client’s progress to the goals set in the treatment plan, the healthcare team can determine whether the interventions are working or if they need to be adjusted.
Choice C rationale
The treatment plan guides the planning and implementation of care. It outlines the steps that need to be taken to help the client achieve their health goals.
Choice D rationale
Ensuring that the client follows their treatment is not a purpose of the treatment plan. While the treatment plan can guide the client’s treatment, it is ultimately up to the client to adhere to the treatment.
Choice E rationale
The treatment plan serves as a means of monitoring the client’s progress. Regular reviews of the treatment plan can show whether the client is making progress towards their health goals.

Choice A rationale
While fostering a social relationship can be a part of therapeutic communication, it is not the primary goal. Therapeutic communication in nursing is patient-centered and should involve a holistic approach, including aspects of psychological, physiological, spiritual, and environmental care of the patient.
Choice B rationale
Focusing on the attitude of the client is not the main goal of therapeutic communication. While understanding the client’s attitude can provide valuable insights into their feelings and perspectives, the primary goal is to build a rapport and focus on the client.
Choice C rationale
Focusing on the client and building a rapport is the main goal of therapeutic communication in nursing. It helps nurses build trust with patients while also helping establish collaborative efforts to promote efficient and effective patient care, improving patient outcomes.
Choice D rationale
Focusing on the staff member and building rapport is not the primary goal of therapeutic communication. The focus should be on the client, their needs, and their experiences.