The nurse should utilize which group function to help an extremely withdrawn, paranoid client increase feelings of security?

Correct Answer: B

Rationale: Support is the group function that the nurse should utilize to help an extremely withdrawn, paranoid client increase feelings of security. Support groups provide a safe and accepting environment where individuals can share their experiences, feelings, and concerns with others who are facing similar challenges. For a withdrawn and paranoid client, being part of a supportive group can help combat feelings of isolation and build a sense of belonging and security. Through receiving support from others, the client can gradually increase trust and feel more comfortable in social situations, ultimately enhancing their overall sense of security.

Correct Answer: A

Rationale: Group therapy provides the opportunity to learn and practice new coping skills. By participating in group sessions, clients can gain support from peers, receive feedback on their thoughts and behaviors, and develop social skills. It can also help individuals feel less isolated and more connected with others who are going through similar experiences. Even if the client feels they are there just to rest, engaging in group therapy can still be beneficial for their overall well-being and treatment progress.

Correct Answer: C

Rationale: A democratic form of self-government in the therapeutic milieu contributes to client therapy by setting community expectations wherein all clients are treated on an equal basis. This fosters a sense of respect, fairness, and inclusivity within the therapeutic environment, enhancing the overall therapeutic experience for each individual. By promoting equal treatment and shared responsibilities, clients in such a democratic setting can feel empowered, respected, and valued, leading to better engagement in therapy and a more supportive community atmosphere. This sense of egalitarianism can also help to build trust among clients and between clients and therapy staff, ultimately facilitating positive therapeutic outcomes.

Correct Answer: C

Rationale: In this scenario, the mother's anxiety and refusal to leave the postpartum unit are most likely due to an acute response to the external situational stressor of becoming a new mother. Postpartum anxiety and difficulties adjusting to the new role are common experiences for many new mothers and can precipitate a crisis situation. This crisis is not caused by preexisting psychopathology or normal life-cycle transitions, but rather by the specific stressors associated with the new maternal role. Recognizing this as an acute response to an external situational stressor will guide the nurse in providing appropriate care and support for the mother during this sensitive time.

Correct Answer: D

Rationale: In this scenario, the most appropriate intervention would be to prioritize setting firm limits on the behavior with staff support. By establishing boundaries, the nurse can convey clear expectations to the client and promote a therapeutic environment. Setting limits also helps in managing challenging behaviors and maintaining a safe space for both the client and staff members. This approach can prevent potential escalation of the behavior and provide structure and consistency in the therapeutic relationship. It is essential to address the behavior promptly and assertively, emphasizing respect and safety for all individuals involved.