A client is proud of a recent breakthrough in his ability to ...

[michelleunicorn]

A client is proud of a recent breakthrough in his ability to control his anger when another client had criticized his behavior. The nurse shakes the client's hand and praises him on his accomplishment.
 
  How should this nurse's behavior be interpreted? 1. This gesture is inappropriate because it could seem condescending to the client.
  2. This gesture is appropriately timed and suitable in this situation.
  3. The use of touch is inappropriate with any client no matter the reason.
  4. The use of touch may be perceived as a sexual overture in this situation.

Question 2

When a client with memory loss is in need of orienting cues, the most appropriate response for maintaining dignity and self-esteem would be:
 
  1. What an unusually warm and sunny day for the 12th of November.
  2. I'm sure you remember to look at your calendar every day. What is today's date?
  3. What is today's date? I have such a hard time keeping track.
  4. You remember that yesterday was Veteran's Day, don't you? Of course that would make today November 12th.

[jharrington11]

Answer to Question 1

2
Rationale: A firm handshake and a statement of congratulations are facilitative in this instance during the working phase of the relationship. The use of touch is appropriate in many instances with many clients if timed and offered correctly. A handshake and congratulatory statement in this situation does not have any sexual or condescending overtones.

Answer to Question 2

1
Rationale: Interjecting orienting cues into casual conversation is a less demeaning approach than one that corrects or bombards the client with questions, facts, or figures.