You are working with a 50-year-old woman admitted for major ...

[WWatsford]

You are working with a 50-year-old woman admitted for major depressive episode. The client has remained isolated and withdrawn since her admission and is reluctant to speak.
 
  Which of the following therapeutic communication skills is most likely to encourage the client to vent her feelings?
 
  A) Direct confrontation
  B) Reality orientation
  C) Projective identification
  D) Silence and active listening

Question 2

A client was admitted to the psychiatric unit with major depression after a suicide attempt. In addition to the client's feelings of sadness and hopelessness, the nurse assessed which of the following somatic or physiologic symptoms of depression?
 
  A) Anxiety, unconscious anger, and hostility
  B) Guilt, indecisiveness, and poor self-concept
  C) Psychomotor retardation and agitation
  D) Meticulous attention to grooming and hygiene

[Anonymous]

Answer to Question 1

Ans: D
Silence and active listening are powerful tools for use with a client who is depressed and withdrawn. Direct confrontation can lead to feelings of shame or embarrassment. The client who is not psychotic does not need reality orientation, and projective identification is a primitive subconscious ego defense mechanism.

Answer to Question 2

Ans: C
Psychomotor retardation, or agitation, often accompanies depression. The incorrect answers are not physiologic or somatic but psychological or functional symptoms of depression. Usually in depressive illness, grooming and hygiene are not tended to.

[WWatsford]

Thanks for the timely response, appreciate it

[bulacsom]

Great answer, keep it coming