The nurse is attempting to establish a therapeutic relationship with an angry, depressed client on a psychiatric unit. Which is the most appropriate nursing intervention?

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ATI Mental Health Proctored Exam 2019 with NGN Quizlet Questions

Question 1 of 5

The nurse is attempting to establish a therapeutic relationship with an angry, depressed client on a psychiatric unit. Which is the most appropriate nursing intervention?

Correct Answer: C

Rationale: The correct answer is C because showing respect that is not based on the client's behavior is essential in establishing a therapeutic relationship. This approach conveys unconditional positive regard, helping the client feel valued and accepted regardless of their current emotional state. Choice A of establishing a friendship may blur boundaries and hinder the professional therapeutic relationship. Choice B of using humor may not be appropriate for a client experiencing anger and depression. Choice D of sympathizing with the client's sad feelings may be seen as pity rather than genuine understanding, which can be counterproductive. Overall, choice C demonstrates empathy, understanding, and a non-judgmental attitude, which are crucial in building trust and rapport with the client.

Question 2 of 5

The nurse is attempting to establish a therapeutic relationship with an angry, depressed client on a psychiatric unit. Which is the most appropriate nursing intervention?

Correct Answer: C

Rationale: The correct answer is C because showing respect that is not based on the client's behavior is essential in establishing a therapeutic relationship. This approach conveys unconditional positive regard, helping the client feel valued and accepted regardless of their current emotional state. Choice A of establishing a friendship may blur boundaries and hinder the professional therapeutic relationship. Choice B of using humor may not be appropriate for a client experiencing anger and depression. Choice D of sympathizing with the client's sad feelings may be seen as pity rather than genuine understanding, which can be counterproductive. Overall, choice C demonstrates empathy, understanding, and a non-judgmental attitude, which are crucial in building trust and rapport with the client.

Question 3 of 5

While working in a community mental health treatment center, the nurse overhears one of the receptionists saying that one of the patients is 'really psycho.' Later in the day, the nurse talks with the receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?

Correct Answer: B

Rationale: The correct answer is B: Public stigma. The nurse's action of addressing the receptionist's derogatory comment about a patient as 'really psycho' indicates an attempt to address public stigma. Public stigma refers to the negative attitudes and beliefs held by society towards individuals with mental health conditions. By discussing the inappropriate language used by the receptionist, the nurse is addressing the perpetuation of negative stereotypes and discrimination against individuals with mental health issues. Incorrect Choices: A: Lack of knowledge - This choice would imply that the nurse is addressing a lack of knowledge about mental health conditions, which is not the main issue in this scenario. C: Label avoidance - This choice would imply that the nurse is avoiding using stigmatizing labels, which is not the main focus of the scenario. D: Self-stigma - This choice would imply that the nurse is addressing the internalized stigma experienced by individuals with mental health conditions, which is not the main issue being addressed in this scenario.

Question 4 of 5

A nurse is preparing to assess a 9-year-old child who has been sexually abused. Which of the following would be the priority for the nurse?

Correct Answer: D

Rationale: The correct answer is D because ensuring a safe and supportive environment is the priority in assessing a sexually abused child. Safety and comfort are crucial for the child to feel secure and open up about their experience. This approach helps build trust and rapport, leading to a more effective assessment and support. A: Finding out when the abuse occurred is important but not the immediate priority. B: Documenting for court is necessary but not the first step in caring for the child's well-being. C: Using anatomically correct dolls can be helpful in some cases, but it should not be the priority over ensuring the child's safety and well-being.

Question 5 of 5

A nurse is developing a plan of care for a male client who is homeless. Which of the following would the nurse do first?

Correct Answer: D

Rationale: The correct answer is D: Stabilize the client's physical health status. This should be done first because addressing immediate physical health needs is crucial for the client's well-being. Without stable physical health, the client may not be able to engage effectively in accessing benefits or finding safe facilities. Referring to social services (A) and discussing privacy (C) are important but secondary to addressing physical health. Providing a list of safe facilities (B) is also important but not as critical as stabilizing the client's health. By addressing physical health first, the nurse can ensure the client is in a better position to address other needs effectively.

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