A client asks the nurse, You know all about my situation. Do you ...

[neverstopbelieb]

A client asks the nurse, You know all about my situation. Do you think I should get a divorce? The best reply for the nurse to make would be:
 
  1. Let's discuss your ideas about this.
  2. Divorce should be avoided, if possible.
  3. Have you considered any alternatives to divorce?
  4. It seems you are trying to shift the burden of decision making to me.

Question 2

A client who is talking with the nurse shows deep distress related to his mood disorder. He sobs, I'm not sure I'll ever feel like my old self again. How can I provide for my wife and kids if I can't get out of bed and go to work
 
  A therapeutic response would be:
  1. If you're worried about finances, perhaps your wife could get a job.
  2. I'm sure you'll be better after taking medication for a few weeks.
  3. Try not to be so upset about something over which you have no control.
  4. I can see that you are very upset about feeling depressed.

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Answer to Question 1

ANS: 1
When a client asks the nurse what to do, it is likely that he or she is not as interested in the nurse's opinion as in a desire for the nurse to stay engaged while the client continues to explore the problem. Thus inviting the client to explore his or her thoughts about the issue is the most therapeutic avenue to take. Options 2 and 3 give the impression that the nurse is against divorce. Option 4 attacks the client.

Answer to Question 2

ANS: 4
This response acknowledges the client's deep feelings of distress. From this, the client knows he has been heard and understood by the nurse and can continue to discuss the matter. Option 1 of-fers advice. Option 2 offers false reassurance. Option 3 requests a change of client behavior and suggests that the client is helpless.

[neverstopbelieb]

Thanks for the timely response, appreciate it

[mjenn52]

Wow, this really help