A 60-year-old client on the psychiatric unit was angry because of ...

[Kthamas]

A 60-year-old client on the psychiatric unit was angry because of a remark another client made to her. The client asked the nurse manager to help resolve the situation.
 
  Which action would best support the client's feelings of safety when experimenting with new ways of being?
  1. Offer to be present with the client as she discusses her feelings about the incident with the other client.
  2. Intervene on the client's behalf and sort out the incident with the other client.
  3. Suggest that the client ignore the situation since the other client was probably not aware of her behavior.
  4. Encourage the client to report the incident to the other client's physician.

Question 2

The nurse and client were interacting during a one-to-one session on the psychiatric unit. In re-sponse to the nurse's statement, Tell me about your family, the client became silent and dis-played nonverbally that he was uncomfortable.
 
  Which of these statements reflects the nurse's sensitivity to the client?
  1. I'm so sorry. I didn't realize your family was a problem for you.
  2. Learning to express negative feelings will assist you in getting well.
  3. Perhaps you can talk about your feelings to the physician next time you meet.
  4. That seems to be a difficult subject for you. We can discuss it later, if you pre-fer.

[jlaineee]

Answer to Question 1

ANS: 1
Offering to be with the client affords her a safe nonthreatening opportunity to assume responsi-bility for meeting her own needs assertively. Option 2 removes the responsibility from the client. Option 3 supports passive behavior. Option 4. There is no need to bring in another person. The client is capable of addressing the problem herself.

Answer to Question 2

ANS: 4
This response acknowledges the situation, is respectful, and refocuses the therapeutic interaction. Option 1 is not sensitively worded. Option 2 offers false reassurance and implies that feelings are negative. Option 3 represents avoidance of dealing with the client's feelings.

[Kthamas]

Gracias!

[strudel15]

TYSM