Author Question: While providing care to a client with a mental disorder, the client asks the nurse, Does mental ... (Read 136 times)

jlmhmf · **on:** Jul 19, 2018

While providing care to a client with a mental disorder, the client asks the nurse, Does mental illness run in your family? Which response by the nurse would be most inappropriate?

A) Mental illnesses do run in families, and I've had a lot of experience caring for people with mental illness.
B) It sounds like you are concerned that there may be a family connection to your current problem?
C) Yes, it does. I have a sister who was diagnosed several years ago with severe major depression.
D) Mental illness can be family related. Let's focus the discussion on you and how you're doing today.

Question 2

A nurse engaged in an interaction with a client recognizes body space zones. Which of the following would the nurse identify as the individual's personal zone?

A) Beginning at the boundary of the intimate zone and ending at the social zone
B) Extending outward from the border to the public zone
C) Surrounding and protecting an individual from others, especially outsiders
D) The most distant boundary that can be used for recognizing intruders

ririgirl15 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
The statement about the nurse's sister suffering from depression is inappropriate because it involves self-disclosure that serves no therapeutic purpose. In addition, it ignores the underlying concern of the client's statement: mental illnesses and family. The statements about having experience dealing with mental illnesses, sounding concerned about a family connection, and focusing the discussion on the client serve to redirect the interaction back to the client.

Answer to Question 2

Ans: A
The four zones are intimate, personal, social, and public. The personal zone begins at the boundary of the intimate zone and ends at the social zone. The intimate zone varies widely in different cultures. The social zone begins at the end of the personal zone and ends at the public zone. The public zone begins at the end of the social zone and extends outward.