A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client’s plan of care?
A.
Giving the client choices of activities.
B.
Playing a game of chess with the client.
C.
Encouraging decision-making.
D.
Spending time sitting with the client.
The Correct answer and Explanation is:
The most therapeutic nursing approach for a client hospitalized for severe depression is D. Spending time sitting with the client.
Explanation:
Severe depression often leads to significant emotional and social withdrawal. Clients may feel isolated and experience an overwhelming sense of hopelessness, which can hinder their engagement in activities and decision-making. Therefore, the therapeutic value of spending time with the client can be particularly profound.
- Validation of Presence: Simply being present with the client provides a form of emotional support and validation. It reassures the client that they are not alone in their suffering. The act of sitting quietly with them demonstrates empathy and acceptance, which can help counteract feelings of loneliness and worthlessness that are common in severe depression.
- Reduction of Anxiety: Depression often coexists with anxiety. By spending time with the client without the pressure of engaging in activities or making decisions, the nurse helps to reduce anxiety. This calm presence can provide a sense of stability and safety, which is crucial for individuals in a fragile emotional state.
- Facilitation of Communication: Sometimes, clients with severe depression may find it difficult to initiate conversation or express their feelings. A non-intrusive, patient presence can create an environment where the client feels more comfortable sharing their thoughts and feelings at their own pace.
- Supportive Relationship: Building a therapeutic relationship is a cornerstone of effective mental health care. Spending time with the client helps in establishing trust and rapport, which are essential for therapeutic progress. It shows the client that the nurse is genuinely concerned about their well-being, enhancing the overall therapeutic alliance.
Comparison with Other Options:
- A. Giving the client choices of activities: While offering choices can be beneficial in certain contexts, clients with severe depression may lack the motivation to engage in activities, making this approach less effective initially.
- B. Playing a game of chess with the client: This may not be suitable for all clients with severe depression, especially if they are feeling too overwhelmed to engage in structured activities or games.
- C. Encouraging decision-making: Although empowering clients is important, individuals with severe depression might struggle with decision-making due to cognitive impairments associated with their condition. Forcing decisions may add to their stress.
In summary, spending time sitting with the client is a compassionate and non-demanding approach that aligns well with the therapeutic needs of individuals suffering from severe depression.