During a group session, the clients are asked to make one ...

[nenivikky]

During a group session, the clients are asked to make one positive statement about their home life. The nurse notices that one of the clients begins to fidget in the chair and interprets this behavior as:
 
  1. A form of nonlanguage vocalization.
  2. A therapeutic use of space.
  3. An expression of discomfort.
  4. An excuse to avoid answering the question.

Question 2

The nurse is admitting a client to the unit after a substance abuse relapse. The nurse assesses that the client's family has not been supportive of recovery efforts and requires education.
 
  Which of the following is a priority for client teaching? 1. Relapse triggers for the client
  2. The effects of substance abuse on the client
  3. Unit visiting hours
  4. Local support group information

[kjohnson]

Answer to Question 1

3
Rationale: Behavior such as fidgeting communicates an expression of discomfort; the source of the discomfort may be physical or psychological. An example of the therapeutic use of space would be to use the fidgeting as a stimulus, motivating another individual to increase the distance from the client or move away. Fidgeting is a form of body movement or kinesic communication; nonlanguage vocalizations are noises without linguistic structure. Fidgeting is a nonverbal response to a question; there is not enough data to identify if the client is trying to avoid the question; the nurse would need to engage in verbal communication to help the client identify that he or she is avoiding answering the question.

Answer to Question 2

1
Rationale: Although all information presented is valuable information, prevention is more effective when clients and their families understand the likely triggers for relapse; therefore, this would be the priority area for teaching.