The nurse is designing a care plan for a client involuntarily admitted with severe major depressive disorder. A critical aspect of this client’s plan of care is
The nurse is designing a care plan for a client involuntarily admitted with severe major depressive disorder. A critical aspect of this client’s plan of care is
A. the participation of the client.
[61%]
B. a completed medication reconciliation.
[15%]
C. a review of previously prescribed antidepressant medications.
[20%]
D. the assignment of a case manager.
[4%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Therapeutic Communication
Item Type
Item Type
Analysis
Explanation
Choice A is correct. Establishing concordance of care and having the client involved in goal setting is crucial. Without the client's participation, the client risks treatment nonadherence, prolonged hospitalization, and mistrust of the healthcare staff. Having a client adhere to a treatment plan cannot occur if the client is ambivalent or indifferent. The nurse should directly address any ambivalence with an empathetic approach.
Choice B is incorrect. Medication reconciliation is a process that occurs at admission, transfer, and discharge. While this is essential to prevent any omission or duplication of medications, this cannot occur if the client is not actively participating in their care.
Choice C is incorrect. Psychiatry is consulted to prescribe appropriate treatments, including antidepressant medications. Reviewing previously trialed antidepressant medications will be quite difficult if the client is not an active participant in their care.
Choice D is incorrect. Not every client is assigned a case manager. A case manager is often assigned to individuals who have had multiple hospitalizations or readmissions. A case manager may be assigned to individuals who require numerous healthcare services. A case manager coordinates healthcare services and frequently checks in with clients to determine their response to the treatment plan. Nothing in this client situation indicates that a case manager is necessary.
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2 Key Topics
Therapeutic communication
13.3 Therapeutic Communication & Environment
Additional Info
✓ Active client participation in goal setting is key regardless of the client's diagnosis.
✓ Treatment adherence is optimal when the client is informed and influences decision-making.
✓ The nurse should avoid using an authoritarian type of approach as this creates both resistance and resentment.
