During a particularly busy time on the psychiatric unit, the ...

[dbose]

During a particularly busy time on the psychiatric unit, the nurse has been asked to identify a location to conduct an interview with a psychiatricmental health client. What factor should the nurse prioritize when choosing a location?
 
  A) The amount of lighting in a given location
  B) The client's right to a stress-free environment
  C) The client's right to privacy
  D) The numbers of distracters in a given location

Question 2

A psychiatricmental health nurse has identified a suitable location in which to conduct a client interview. Which of the following seating arrangements in the room is likely to be the least threatening to the psychiatricmental health client?
 
  A) Sitting at an angle, 4 to 5 feet apart
  B) Sitting face to face, 4 to 5 feet apart
  C) Sitting at an angle, 1 to 2 feet apart
  D) Sitting face to face, 1 to 2 feet apart

[fromAlphatoOmega22]

Answer to Question 1

Ans: C
Feedback:
The client's right to privacy is an essential setting consideration, even though the other listed options are valid considerations. It is an ethical responsibility of the nurse as well as a legal right of the client. Nurses must make critical clinical judgments about the optimal setting that maintains privacy while also ensuring safety.

Answer to Question 2

Ans: A
Feedback:
It is generally accepted that the least threatening arrangement is to sit at an angle to the client rather than face to face (MacKinnon et al., 2006; Sommers-Flanagan, 2003; Shea, 1998). Proximity to client is also a consideration. In general, 4 to 5 feet apart is what most clinician trainees identify as a comfortable seating arrangement (Shea, 1998).