Author Question: A client who is a lawyer is meeting with a nurse therapist for the first time. The client has been ... (Read 37 times)

imanialler · **on:** Jul 19, 2018

A client who is a lawyer is meeting with a nurse therapist for the first time. The client has been highly anxious and increasingly consumed with thoughts about how he may have mismanaged a case and possibly committed professional misconduct.

He relates that he has been pacing in his office and at home and cannot think clearly about what to do next. Which of the following interventions is appropriate at this time?
A) The nurse asks the client to relate the events that immediately preceded his feelings of anxiety.
B) The nurse addresses the client's psychosocial history.
C) The nurse helps the client to see that his thinking is distorted and potentially unhealthy.
D) The nurse avoids focusing on feelings and discusses his work environment.

Question 2

A nurse is working with a client in crisis who does not want to reveal her problem to family members or friends because she believes that doing so will expose her to criticism.

The client has developed a realistic plan for managing the crisis; however, it will be hard for her accomplish it alone. The nurse chooses which of the following interventions to help the client get past the crisis?
A) Teach the client positive self-talk.
B) Role-model how to ask for help.
C) Teach the client the harm of keeping the crisis a secret.
D) Encourage the potential for personal growth.

wtf444 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Feedback:
The nurse first determines the client's perception of the stressful event. How threatened is the client? Is the client realistic or distorting the meaning of the event? The nurse encourages the client to describe his feelings and accepts the client without judgment, thereby helping him to accept his feelings as well.

Answer to Question 2

Ans: B
Feedback:
In a crisis, it is natural to withdraw and feel isolated. Therefore, the nurse helps the client to communicate directly with significant others. Clients who place high value on independence may need particular assistance to recognize interdependence as a healthy balance. Often, the nurse must teach such clients how to ask for help. The nurse can demonstrate this skill to the client through role-playing.