4, 5 Show Rationale: 3 Rationale: 1, 3, 4, 5 Rationale: Democratic, guiding A democratic, guiding type of leader stimulates, directs, and assists the group to develop its maximum potential by facilitating and balancing group forces. A hierarchal, directing type of leader makes most of the decisions and controls the group, thus limiting group growth potential. An autocratic, controlling type of leader makes most of the decisions and controls the group, thus limiting group growth potential. A laissez-faire, observing type of leader allows group members to take over the group; if the group has no leader or leaders, little is gained from the group. Repression The client's inability to recall is an example of repression, which is the unconscious and involuntary forgetting of painful events, ideas, and conflicts. There is nothing to demonstrate that denial, an unconscious refusal to admit an unacceptable situation, exists. There is nothing to demonstrate that regression, a return to an earlier, more comfortable developmental level, has occurred. There is nothing to demonstrate that dissociation, the separation and detachment of emotional affect and significance from a particular idea, situation, or incident, has occurred. Odd and eccentric Cluster A includes paranoid, schizoid, and schizotypal personality disorders. These clients are odd and eccentric and use strange speech, are angry, and have impaired relationships. Cluster C includes avoidant, dependent, and obsessive-compulsive personality disorders. These clients are anxious, fearful, tense, and rigid. Cluster B includes antisocial, borderline, histrionic, and narcissistic personality disorders. These clients are dramatic, erratic, labile, impulsive, hostile, and manipulative. Attitude Attitude relates to the approach or manner of the client during the interaction with the interviewer (e.g., cooperative, resistive, friendly, ingratiating). Mood is a feeling state reported by the client (e.g., sad, depressed, angry, anxious, happy). Affect is a person's mood, feelings, or tone, observable as an outward manifestation; it may be referred to as inappropriate, flat, or blunted. Perception is how a person views and interprets a situation; a perception may or may not be based in reality. Reducing tension The primary purpose for action when a client is anxious is the reduction of emotional tension and prevention of escalation of the anxiety. When tension is reduced, anxiety is diminished, and the person feels more comfortable, safe, and secure. When acting to reduce anxiety, the person is extremely aware of the presence of anxiety and is not attempting to deny its existence. When anxiety becomes severe, the client is unable to focus on or solve the problem. Emotional tension, not physical discomfort, needs to be reduced. Minimizing the escalation of anxiety has an effect on psychological, rather than physical, discomfort. Which assessment data are the most important to obtain from a client in a crisis?Which assessment data are the most important to obtain from a client in crisis? Knowing the client's perception of the circumstances surrounding the crisis helps the nurse determine what the situation means to the client.
Which quality is the most important tool the nurse brings to the therapeutic nurse client?There is no doubt that Self-awareness is one of the important components in nurse client relationship. Nurses spend most time with the patients than of any other health care professionals so self-awareness is considered as an important tool to develop a therapeutic relationship with the client.
Which of the following is the most important tool for psychiatric nursing?The nurse's major tool in psychiatric nursing is the therapeutic use of self. Psychiatric nurses must learn to identify their own feelings and understand who they affect the situation.
Which response by the nurse would be most therapeutic?Seek more information
Sometimes the best and most therapeutic response is asking for more information. If a clients is distressed, she may not be able to articulate her needs immediately. Look for responses that encourage the client to “tell more” about what she is feeling.
|