The psychiatric–mental health nurse is asked to consult with an emergency room nurse about a client who has been refusing to cooperate with lab work for over four hours
The client appears frightened, answers questions reluctantly, and has no family present. Which response of the psychiatric–mental health nurse demonstrates a humanistic–interactional approach to the situation? 1. "Have you asked if the client wants to have a friend or family member to be here?"
2. "Have you offered medication for anxiety?"
3. "Give the client some time alone to decide whether or not to accept treatment."
4. "I would ask for a full psychiatric evaluation before discharge."
1
Rationale: Since all behavior has meaning, appearance and non-verbal cues suggest the client is fearful and potentially alienated. The offer to include someone from the client's larger support system recognizes the need for safety, security, and feeling connected with others. Suggesting medication for anxiety is premature without further assessment and underscores that the client is not in control of his or her emotions. The statement that a full psychiatric evaluation is needed suggests that the client has a larger problem which has not been unsubstantiated by a holistic assessment, further stigmatizing the client. Allowing the client to remain isolated overlooks the opportunity to develop a relationship where shared understanding can develop.
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