Author Question: The mental health nurse has been meeting with a client on a weekly basis and, over the past several ... (Read 35 times)

nevelica · **on:** Jul 22, 2018

The mental health nurse has been meeting with a client on a weekly basis and, over the past several weeks, the client has been consistently 15 minutes late.

Which of the following nursing actions is appropriate regarding the client's lateness for the scheduled meetings? 1. Ignore the behavior.
2. Tell the client that the meetings will be terminated.
3. Ask the client if something is going on that the client may have difficulty han-dling.
4. Because the client is consistently late, begin to arrive 15 minutes later than the scheduled time also.

Question 2

The nurse working in the day care center is told that a child with autism will be attending the center. The nurse collaborates with the staff of the day care center and assists in planning activi-ties that will meet the child's needs.

The nurse understands that the priority consideration in planning activities for the child is to ensure: 1. Safety with activities
2. Activities providing verbal stimulation
3. Social interactions with other children in the same age group
4. Familiarity with all activities and providing orientation throughout the activities

yasmina · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: If a client consistently demonstrates a behavior, such as arriving late for a scheduled meeting, the nurse should explore the reason for the behavior with the client. Terminating the meeting is inappropriate. Ignoring the behavior is not a therapeutic or helpful nursing action. Behavior that is similar to the client's behavior is nontherapeutic and inappropriate. It is most helpful to the client for the nurse to explore the reasons for the client's behavior.

Answer to Question 2

1

Rationale: Safety with all activities is a priority in planning activities with the child. The child with autism is unable to anticipate danger, has a tendency for self-mutilation, and has sensor-iperceptual deficits. Although providing social interactions, verbal communications, and famili-arity and orientation are also appropriate interventions, the priority is safety.