NCLEX-PN

Category - Psychosocial Integrity

The nurse is assigned to care for a female client with major depression, who is socially withdrawn and poorly managing her self-care. When providing assistance for the client’s basic needs and activities of daily living, which of the following interventions is the most appropriate?
  1. Ask the client for her most convenient time to complete these activities
  2. Inform the client of the scheduled activities in advance
  3. Inform the client of the nurse’s schedule for the day and negotiate the time to initiate and complete the activities
  4. Inform the client of the specific activities that should be done, including the time in which they should be performed
Explanation
Answer: D - A client who is withdrawn could be manipulative in order to avoid or refuse the activities. The most appropriate action of the nurse is to inform the client about the activities specifically and concisely, including the time in which they should be started and completed. Giving the client choices, informing them about the activities in advance, and negotiating are not therapeutic when caring for a withdrawn, depressed client.
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