Difficulty: Medium
Average Score: 73%
Simulated
A nurse is caring for a client on the Mental Health Unit. The client refuses to get out of bed,go to activities or participate in any of the unitÔÇÖs programs. Which of the following responses should the nurse make?
Correct answer
B
Rationale
Correct Answer: B
Rationale: By offering assistance to get ready and then allowing rest after activities, the nurse is promoting a therapeutic approach that encourages participation without force. This approach respects the client's autonomy and choice, fostering a sense of empowerment and collaboration in care. It also addresses the client's needs and preferences, promoting a positive therapeutic relationship.
Summary of Incorrect Choices:
A: This response does not address the client's needs or encourage participation.
C: Using threats related to meals can escalate the situation and may be perceived as punitive or coercive.
D: Directing the client to follow the unit without considering their feelings or preferences can be perceived as authoritarian, leading to resistance and disengagement.
Rationale: By offering assistance to get ready and then allowing rest after activities, the nurse is promoting a therapeutic approach that encourages participation without force. This approach respects the client's autonomy and choice, fostering a sense of empowerment and collaboration in care. It also addresses the client's needs and preferences, promoting a positive therapeutic relationship.
Summary of Incorrect Choices:
A: This response does not address the client's needs or encourage participation.
C: Using threats related to meals can escalate the situation and may be perceived as punitive or coercive.
D: Directing the client to follow the unit without considering their feelings or preferences can be perceived as authoritarian, leading to resistance and disengagement.