Nursing Interventions for Self-Care Deficit and Reality Orientation

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What is a recommended nursing intervention to enhance social interaction in a client?

Limit the client's contact with other patients

Encourage long, repetitive verbalization of false ideas

Isolate the client from any form of social activity

Reinforce appropriate interaction skills through simple language (correct)

How should a nurse deal with a client showing signs of hallucinations?

Encourage the hallucinations to continue

Avoid interacting with the client to prevent escalation

Try to distract the client from the misperception (correct)

Participate in the hallucinations to understand the client better

What is the role of mobilizing social support in nursing management?

Keep the treatment plan secret from family or friends

Inform the family or friends only if the situation becomes critical

Isolate the client from their support system

Involve the client's support system in the care plan (correct)

In nursing management, what does reinforcing appropriate interaction skills involve?

Positive reinforcement of appropriate behaviors Signup and view all the answers

How can a nurse promote reality orientation in a client?

Talking about real events and using real situations Signup and view all the answers

What is a strategy for enhancing social interaction in a client experiencing depression?

Increasing contact with other patients gradually Signup and view all the answers

What are some signs of increasing withdrawal in a client who may be at risk of suicidal behavior?

Experiencing sudden mood changes Signup and view all the answers

Why is it important for the client and family members to be given emergency contact phone numbers and crisis hotline numbers?

To ensure medication adherence and provide support in case of emergencies Signup and view all the answers

Which demographic factor is NOT associated with an increased risk of suicide according to the text?

Having a history of abuse or trauma Signup and view all the answers

What is one nursing management strategy to prevent drug intoxication in clients at risk of suicide?

Supervising medication taking to ensure clients do not hide any medication Signup and view all the answers

What type of symptoms are included in the assessment of suicidal risk according to the text?

Social/interpersonal symptoms, physical symptoms, and cognitive symptoms Signup and view all the answers

Which factor is NOT considered a clinical risk factor for suicidal behavior in the text?

Positive life events and minimal stress Signup and view all the answers

How can a nurse promote self-esteem in a client?

Minimizing attention given to past failures Signup and view all the answers

What is a strategy to assist a client in developing a sense of control in life?

Teaching problem-solving techniques Signup and view all the answers

In terms of meeting physiologic needs, what could a nurse do to promote sleep hygiene for a client?

Minimize disturbances at bedtime Signup and view all the answers

What is an effective method of monitoring a client's food and fluid intake in nursing management?

Monitoring food and fluid intake regularly Signup and view all the answers

How can a nurse work with a patient to mitigate suicide risk?

Developing a personalized safety plan Signup and view all the answers

What can be done to assist the client in maintaining adequate nutrition in nursing management?

Offering food that the client can eat while moving around Signup and view all the answers

Nursing Interventions for Self-Care Deficit and Reality Orientation

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