Difficulty: Medium
Average Score: 86%
Simulated
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct answer
D
Rationale
The correct answer is D: Establish confidentiality guidelines with the client. This is the first step to building trust in the nurse-client relationship, essential in mental health care. Confidentiality assures the client that their personal information will be kept private, promoting openness and honesty. By discussing confidentiality guidelines upfront, the nurse shows respect for the client's privacy and fosters a safe environment for them to share sensitive information.
Choices A, B, and C focus on interventions that come later in the nurse-client relationship. Helping the client use coping strategies, make behavioral changes, and educating them about their disorder are important steps but should follow after establishing trust and confidentiality. It is crucial to prioritize building a strong foundation of trust before moving on to other aspects of care.
Choices A, B, and C focus on interventions that come later in the nurse-client relationship. Helping the client use coping strategies, make behavioral changes, and educating them about their disorder are important steps but should follow after establishing trust and confidentiality. It is crucial to prioritize building a strong foundation of trust before moving on to other aspects of care.