A client with a dual diagnosis has announced to the nurse that he is refusing to attend a group session that is scheduled for that morning. While the session is not mandatory, it is a recommended part of the client's treatment
Which of the nurse's following responses is most therapeutic?
A) "I'm sorry to hear that. Do you want me to tell the leader for you?"
B) "If you come, I can let you have an extra cigarette break this afternoon."
C) "You need to be there. We've been over this before."
D) "I'll meet you there. You might be surprised what good comes out of it."
Ans: D
A demeanor that is directive and assertive, yet nonthreatening, is most likely to be effective when communicating with a client who has a dual diagnosis.
You might also like to view...
When reviewing the report of a phenomenologic study, the nurse finds there is no section that describes or reports the research question. What approach should be used to determine the research question?
a. Examination of the themes that emerged from the study b. Examination of the data analysis methods used in the study c. Examination of the questions or statements posed to the study participants d. Examination and critical analysis of the articles reported in the literature review
what is one of the most significant factors in determining when to start antiretroviral therapy in a patient with HIV infection?
a. when the patient has high levels of HIV antibodies b. confirmation that the patient has contracted HIV infection c. the patients readiness to commit to a complex, lifelong, uncomfortable, drug regimen d. whether the patient has a support system to help manage the costs and side effects of the drug
A keloid is the result of which dysfunctional wound healing response?
a. Epithelialization b. Contraction c. Collagen matrix assembly d. Maturation
When assessing a client's cultural beliefs and values and how they affect the client's interaction with the health care system, a belief about which of the following would the nurse need to determine?
A) Cause of disease B) Health C) Practices for health D) Purpose of life