Author Question: The nurse has completed a new client's orientation to the inpatient psychiatric unit and asks if the ... (Read 35 times)

kodithompson · **on:** Jul 19, 2018

The nurse has completed a new client's orientation to the inpatient psychiatric unit and asks if the client has any questions.

Which of the following questions indicates further teaching is needed regarding the client's rights in a therapeutic environment? 1. Where do I go if I want to smoke?
2. What time does morning group start?
3. What time are meals served on the unit?
4. What happens if I refuse to attend a group activity?

Question 2

A client complains of feeling angry whenever he sees families relating well with one another. During a family group session, the nursing student observes a family member belittling every statement made by the client.

The nursing student knows that the client's thinking is often: 1. What leads the client to negative behaviors.
2. Erratic and problematic.
3. Conscious and deliberate.
4. Automatic, without active or conscious effort.

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

Answer to Question 1

4
Rationale: While clients can choose to refuse group activities and other forms of treatment, a complete orientation of client rights should include benefits of the treatment program and consequences associated with lack of participation. Other logistical information such as meal times, smoking areas, and morning routines are important information for the client to know, but questions such as these do not indicate a misunderstanding of rights.

Answer to Question 2

4
Rationale: The heart of cognitive therapy lies in recognizing how we think and behave and in identifying problematic learning. People develop patterns of thinking over time, often automatically, without active or conscious effort. Automatic thoughts can develop into specific (and frequently solidly crystallized) sets of problematic thinking. Clients' automatic thinking may comprise a part of negative behaviors. The client's thinking does not appear to be conscious, deliberate, or erratic.