Author Question: A severely and persistently mentally ill client who lives in a homeless shelter has a nursing ... (Read 91 times)

Pineappleeh · **on:** Jul 19, 2018

A severely and persistently mentally ill client who lives in a homeless shelter has a nursing
diagnosis of powerlessness. An intervention related to this nursing diagnosis is

a. reinforcing participation in activity.
b. encouraging mutual goal setting.
c. verbally communicating empathy.
d. demonstrating an accepting attitude.

Question 2

A woman has just received the news that her husband died. She approaches the nurse who cared for
him during his last hours and says angrily If you had given him your undivided attention instead of
running off to care for others, he would

still be alive.. The nurse's response should consider that
a. the client is warning staff of a malpractice suit.
b. anger is a phenomenon that is experienced during grieving.
c. the client had ambivalent feelings about her husband.
d. in some cultures, grief is expressed solely through anger.

sokh · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Mutual goal setting is an intervention designed to promote feelings of personal autonomy and dispel
feelings of powerlessness. The health care provider's available resources of time and talent are
frequently strained by the severe psychosocial and physical needs of homeless and severely and
persistently mentally ill clients. Although it might be easier and faster for the nurse to establish a
plan and outcomes, this action would contribute to the client's sense of powerlessness. Involving the
client in decision making empowers the client and reduces feelings of powerlessness. Option A is an
intervention associated with activity therapy. Options C and D are interventions related to presence.

Answer to Question 2

B
Anger may protect the bereaved from facing the devastating reality of loss. Anger expressed during
mourning is not directed toward the nurse personally, even though accusations and blame may make
her feel as though it is. Option A is somewhat unlikely because the angry feelings are likely to
subside. Option C: Data are not present to warrant this conclusion. Option D: This is not a true
statement.