A client with schizophrenia has cognitive disturbances of distractibility, attention deficit, and difficulty in remembering recent events, diminishing the ability to focus on interactions with the team
The client also has a history of suicide attempts. The nurse conducting an assessment interview states, "Don't you trust me?" How does this question affect the client? 1. It is therapeutic and values the client's feelings.
2. It reinforces the client's need to prevent self-harm.
3. It contributes to the client's sense of low self-worth.
4. It clarifies what the client can expect from the team.
3. It contributes to the client's sense of low self-worth.
Rationale:
Challenging the client will contribute to a sense of low self-worth. Saying "Don't you trust me?" is non-therapeutic and devalues the client's self-perception and feelings, diminishes the client's need to prevent self-harm, , and suggests that the team will be unsupportive. Being truthful with the client and reinforcing the need for prevention of harm to self or others clarifies what the client can expect from the team.
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