NCLEX-RN · Question #330
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty. He is worried about how he can keep clean in such a public place and…
The correct answer is B. "I can see how uncomfortable you are, but I would like you to walk with me so I can show you. (A) This statement is punitive. (B) Acknowledging the anxiety and channeling it into some positive activity is therapeutic. (C) The client cannot say "why"; this statement puts the client on the defensive. (D) A rational approach, especially a judgmental one, is nontherapeutic.
Question
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty. He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?
Options
- A"You will not be allowed to remain in your room if you continue to bother things."
- B"I can see how uncomfortable you are, but I would like you to walk with me so I can show you
- C"Tell me why your room needs to be so clean."
- D"I've inspected this room and it is perfectly clean."
How the community answered
(23 responses)- A13% (3)
- B74% (17)
- C4% (1)
- D9% (2)
Explanation
(A) This statement is punitive. (B) Acknowledging the anxiety and channeling it into some positive activity is therapeutic. (C) The client cannot say "why"; this statement puts the client on the defensive. (D) A rational approach, especially a judgmental one, is nontherapeutic.
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