Author Question: During the initial interview with a client, the nurse notices that the client changes the topic when ... (Read 34 times)

oliviahorn72 · **on:** Jul 19, 2018

During the initial interview with a client, the nurse notices that the client changes the topic when the subject of the client's marital relationship is approached. The nurse is guided by the knowledge of which of the following?

1. Discussion of sensitive issues should only occur in the working phase.
2. Formulation of nursing diagnoses should be avoided until all essential data is obtained.
3. Information that is avoided or omitted is often more crucial than what is shared.
4. Avoidance of a topic is a sign of resistance that will disappear when initial anxiety is decreased.

Question 2

A 24-year-old client with body dysmorphic disorder (BDD) tells the nurse that he plans to have a surgical procedure that will affect his appearance. The nurse understands that this plan is an effort to:

1. Suppress intrusive thoughts.
2. Deal with multiple physical complaints.
3. Treat associated depression.
4. Cure the imagined defect.

katkat_flores · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: Observation is essential to clinical practice, particularly in one-to-one relationships. Non-verbal behavior and missing information can indicate an area that requires further exploration. Sensitive issues can be discussed in all phases of the therapeutic relationship, particularly if it is valuable in providing direction for nursing care. A preliminary nursing diagnosis should be formulated based on dominant themes or central issues that may be revised as client behaviors unfold during the course of the one-to-one relationship. Resistive behaviors do not commonly disappear on their own and must be addressed openly for the therapeutic nurseclient relationship to progress.

Answer to Question 2

4
Rationale: Clients with BDD may use cosmetic surgery to cure the imagined defect. Cosmetic surgery does not treat associated depression, deal with multiple physical complaints, or suppress intrusive thoughts.