Question 91 / 1 ptsA client who has twice attempted suicide says, “If people would just leave me alone andlet me do what I want with my life, I could get on with what I want to do.” Which response should the nurse should give to the client? “You’ve tried to end your life twice, yet you feel that everyone should let you do what you want to do?”“Okay, go ahead and do whatever you want to do. Human beings have free will.”“Of course you can’t be left alone to get on with what you want to do.”“Sounds like you’re angry with people for caring enough about you to try to keep you from hurting yourself.”Rationale: The therapeutic response is the one that offers reflection, which permits the client to observe the content of what she is saying. In stating, “Of course, you can’t be left alone to get on with what you want to do,” the nurse makes a response that is socialand belittles the client’s feelings. In stating, “Okay, go ahead and do whatever you want to do. Human beings have free will,” the nurse makes a response that seems sarcastic and angry; it is also judgmental and biased. In stating, “Sounds like you’re angry with people for caring enough about you to try to keep you from hurting yourself,” the nurse
makes a premature judgment. Test-Taking Strategy: Use your knowledge of therapeutic communication techniques. The correct option is the only response that is therapeutic in that it uses reflection. Review therapeutic communication techniques if you had difficulty with this question. References: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th ed., pp. 27-31). St. Louis: Mosby. Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A communication approach to evidence-based care (pp. 413, 415, 416). St. Louis: Saunders. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Communication and Documentation Content Area: Mental Health Question 101 / 1 ptsA homeless client with an antisocial disorder is brought to the emergency department bythe police after disturbing customers in a department store. The client says to the nurse,“I need to be hospitalized. It’s getting cold out, and I need a warm bed. If you don’t get me into a hospital, I’ll jump off a bridge.” Which nursing intervention would be therapeutic?
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- mental health, Saunders, Stuart