The nurse working with a young woman who is depressed tries to cheer the client by being casual
and humorous. At one point the client smiles. What assessment can be made?
a. The nurse has succeeded in reaching the client and is on the way to cheering her.
b. The use of distraction and humor can be added to the intervention list in the plan
of care.
c. The nurse has identified an approach that may prove useful in other, similar
situations.
d. The nurse needs to seek supervision because the approach described is not
acceptable.
ANS: D
Clinical supervision will review the nurse's actions and thoughts and help the nurse arrive at a more
therapeutic approach. Attempts at cheering up a depressed client serve only to emphasize the
disparity between the client's mood and that of others. Active listening should be the technique used
by the nurse. Options A, B, and C suggest the approach is therapeutic when it is not.
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