A prostitute with HIV and severe complications is being cared for ...

[maychende]

A prostitute with HIV and severe complications is being cared for on a medical unit. The nurse is seeking to develop a therapeutic relationship with the client.
 
  Which of the following statements best reflects the nurse's attempt to support the client's self-exploration?
  1. What type of support do you feel you need?
  2. Don't be embarrassed by your former occupation.
  3. What type of schedule could allow you to eat without being nauseated?
  4. The people who work here are professionals; we'll not judge your past actions.

Question 2

A client, while receiving therapies for lung cancer, has been hospitalized for an extended period of time. She has become very depressed, refuses visitors, and does not participate in personal grooming.
 
  In order for the nurse to assist in achieving resolution of the client's problem, he should have the client:
  1. Get washed and dressed independently
  2. Think positively instead of negatively
  3. Contact a support group and explore a psychological consultation
  4. Become more physically independent and return to prior activities

[Bison]

Answer to Question 1

ANS: 1
Encouraging the client's self-exploration by asking about the type of support needed is achieved by accepting the client's thoughts and feelings, by helping the client to clarify interactions with others, and by being empathetic. Telling the client not to be embarrassed does not encourage self-exploration. It also assumes that the client is embarrassed, which may not be the case. Asking about the type of schedule involves the client in a decision-making process related to the client's care, but does not support the client's self-exploration. Self-exploration expands self-awareness. Telling the client that staff will not try to judge the client's past is not therapeutic and implies judgment is due and does not encourage open communication and self-exploration.

Answer to Question 2

ANS: 3
Consultation with significant others, mental health clinicians, and community resources can result in a more comprehensive and workable plan. Clients who are experiencing threats to or alterations in self-concept often benefit from collaboration with mental health and community resources to promote increased awareness. The client's problem of a negative self-concept must be addressed first. As a result, the client may begin to bathe and dress independently. The client needs to ex-press his negative feelings. This would be one step in addressing his self-concept problem. Stat-ing the client should think positively instead of negatively, at this point, is unrealistic. A long-term goal may be that the client will become more independent and return to prior activities. It is not realistic at this time.

[maychende]

Thanks for the timely response, appreciate it

[amcvicar]

Excellent