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Addressing the feelings expressed by a client is an effective therapeutic communication technique. The correct option is an example of the use of restating. The incorrectoptions are responses that block communication because they minimize the client’s experience and do not facilitate exploration of the client’s expressed feelings.98.ID: 383727468A nurse is trying to deescalate aggressive behavior exhibited by a client with schizophrenia. Which nursing action would be contraindicated in this situation?
E.Being assertive with the client F.Negotiating options with the client G.Maintaining a nonaggressive posture H.Standing close to the client and telling the client that the behavior is unacceptable CorrectRationale: To deescalate aggressive behavior, the nurse should maintain calm and a nonaggressive posture. The nurse should also give the client clear instructions that are brief andassertive and negotiate options with the client. Negotiation of options allows the client to feel thathe or she has some room in making decisions. The nurse needs to maintain personal space andshould not stand closer than about 8 feet from the client, which would convey a threatening message.99.ID: 383728853A nurse brings a meal tray to a psychotic client in his hospital room. The client refuses the meal and says, “I’m not eating any more poisoned food while I’m vacationing here. I’m starting on a fast to stay healthy and alive.” Which nursing intervention would be most appropriate initially? I.Taking the tray away and canceling all meals until further notice J.Having the client eat with other clients in the community dining room CorrectK.Eating some of the food from the client’s tray to prove that it isn’t poisoned L.Telling the client that the psychiatrist will be called for a prescription for a tube feeding
Rationale: Having the client eat with other clients in the community room decreases the amount of time in which the client can stay isolated and engage in suspicious thinking. Of the options provided, this would be the initial intervention. It does not guarantee that the client will eat but does reduce the client’s isolation time. Taking the tray away and canceling all meals until further notice and eating some of the food off the client’s tray to prove that it isn’t poisoned are both incorrect because they support the client’s delusional thinking. Telling the client that the psychiatrist will be called for a prescription for a tube feeding is incorrect because it is a premature action that would lead to a regressive struggle with the client and is also a threat to the client.100.ID: 383728347A client who delivered a baby 4 months ago says, “I keep thinking that this boy is some sort of demon. All he does is cry. It’s as if I can’t feed him enough or satisfy him in any way. My daughter never gave me this kind of trouble. I really can’t stand it.” Which statement by the nurseis most important? M.