A nurse in a mental health clinic is caring for a client who is grieving.
Nurses' Notes
1000:
Client presents to the mental health clinic and is tearful and angry recently experienced the loss of a child due to illness. Information provided to client about group therapy and individual therapy.
1100:
Client is continuing to sob and states, "I can't go on living without my child." Current list of home medications reviewed. Client states they have not been taking the prescribed medication "because it will not help."
1300:
Client spoke in group therapy session regarding feelings and prescribed treatment. Acknowledges the role of the therapist and expectations of support group, yet confides, "My anger and sadness are still very
Medication Administration
1000:
Sertraline 100 mg PO BID
Vital Signs
1015:
Temperature 36.8°C (98.4° F)
Heart rate 85/min
Respiratory rate 15/min
BP 147/86 mm Hg
Oxygen saturation 99%
A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.
Statement regarding outlook on living
Statement related to feelings of sadness and anger.
Knowledge of expectations during group meetings.
Awareness of the therapist's role.
Statement related to use of pharmacological interventions.
Correct Answer : A,B,E
Rationales:
A. The client's statement, "I can't go on living without my child," indicates a potentially serious risk to their safety and well-being. This statement suggests that the client may be experiencing suicidal ideation or extreme despair, which requires immediate attention and intervention.
B. While sadness and anger are expected components of grief, the intensity of these feelings and their persistence need to be assessed for any signs of complicated grief or potential for self-harm. Addressing these emotions is critical to ensuring the client’s safety and providing appropriate support.
C. While understanding the expectations during group meetings is important for therapy, it is not as immediately critical as addressing the client's statements about their outlook on living and their medication adherence.
D. Knowledge about the therapist’s role is important for therapeutic alliance, but it is less urgent compared to addressing the client’s potentially dangerous outlook on living and their medication issues.
E. The client’s refusal to take the prescribed medication, with the belief that it "will not help," indicates a possible issue with medication adherence or effectiveness. This needs to be addressed to ensure that the client is receiving appropriate treatment for their mental health needs.
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View Related questions
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Individual therapy is a standard therapeutic approach, not considered complementary or alternative therapy.
B. Group therapy is also a standard therapeutic approach rather than a complementary or alternative therapy.
C. Pet therapy is a complementary therapy that involves interaction with animals to improve mental and physical health.
D. Meditation is a complementary therapy that promotes relaxation and mental well-being through mindfulness and mental focus techniques.
E. Yoga is a complementary therapy that combines physical postures, breathing exercises, and meditation to enhance overall health and well-being.
Correct Answer is B
Explanation
Rationale:
A. Adverse effects of treatment might impact overall health but are not direct risk factors for developing mental illness.
B. Immune system dysfunction can contribute to the development of mental health disorders. Research shows that immune system abnormalities and chronic inflammation are linked to mental health conditions.
C. Exposure to environmental allergies does not have a direct link to the development of mental illness, though it can affect overall well-being.
D. Medication adherence affects treatment outcomes but is not a contributing factor to the development of mental health disorders.