A 9-year-old girl is given the diagnosis of depression. She has ...

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A 9-year-old girl is given the diagnosis of depression. She has low self-esteem, does not enjoy group therapy, and does not show her emotions.
 
  The nurse has had difficulty establishing rapport with this client and decides to ask for assistance from another treatment team member. Which team member would be the best choice to assist in this situation? a. Psychiatric assistant
  b. Dietitian
  c. Occupational therapist
  d. Expressive therapist

Question 2

A couple both reside in a long-term care facility. The husband is admitted to the psychiatric unit after physically abusing his wife. He states, My wife is having an affair with a young man, and I want it investigated.
 
   Which is the appropriate nursing response? 1. Your wife is not having an affair. What makes you think that?
  2. Why do you think that your wife is having an affair?
  3. Your wife has told us that these thoughts have no basis in fact.
  4. I understand that you are upset. We will talk about it.

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Answer to Question 1

D
Expressive therapists work well with children who have difficulty expressing their thoughts and feelings. Expressive therapists use creative methods that appeal to children. The dietitian would not be the best team member to meet the needs of the client at this time. The psychiatric assistant, or technician, assists the nurse with daily activities and in monitoring clients during leisure activities. The occupational therapist works primarily with rehabilitation therapy, such as socialization and vocational retraining.

Answer to Question 2

4
Rationale: The most appropriate response by the nurse is to empathize with the client and encourage the client to talk about the situation. The nurse should remain nonjudgmental and help maintain client's orientation, memory, and recognition.

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TYSM

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