nerdexam
Test_Prep

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.

Psychosocial Integrity

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)
  • A
    13% (3)
  • B
    74% (17)
  • C
    4% (1)
  • D
    9% (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.

Topics

#severe anxiety#therapeutic communication#anxiety reduction#psychiatric nursing

Community Discussion

No community discussion yet for this question.

Full NCLEX-RN Practice