Question

A client admitted to the mental health unit and sits in the corner of the day room. When the nurse begins the assessment , he guarded, suspicious, and resist talking. Which action should the nurse implement?

Answer 1

When a client admitted to the mental health unit is guarded, suspicious, and resistant to talking, the nurse should:

1. Respect Personal Space:

- Maintain a comfortable distance.

2. Use Therapeutic Communication:

- Speak calmly and use open-ended questions.

3. Demonstrate Empathy and Active Listening:

- Show understanding and validate the client's feelings.

4. Assess for Safety Concerns:

- Ensure safety for the client and others.

5. Involve the Client in Decision-Making:

- Offer choices to empower the client.

6. Collaborate with the Interdisciplinary Team:

- Work with the healthcare team for a comprehensive approach.

7. Explore the Reason for Guarded Behavior:

- Understand underlying reasons for the behavior.

8. Establish a Routine:

- Provide structure and predictability.

9. Document Observations:

- Accurately document behavior and observations.

10. Respect Boundaries and Gradually Build Trust:

- Avoid pressuring and build trust gradually.