Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo

Reflection Questions

1 .

The nurse, Jorri, meets with an older adult client who will be discharged from the hospital later today. The discharge plan includes assisted outpatient treatment, mandated as a condition of the client’s release. The client, Edward, sits without speaking, arms crossed, looking down at the floor. The nurse opens a conversation:

Jorri: It seems to me you have something on your mind. If so, can we talk about it?

Edward: What’s there to talk about? All my decisions are made for me.

Jorri: Your decisions . . . ?

Edward: Yeah, like how I live when I get out of here. Going to therapy appointments every week and even having somebody come to my house to check on me. Like I’m not a grown man!

Jorri personally feels community care is appropriate for Edward, though Jorri can see Edward’s distress. Consider the QSEN competency regarding the limits and boundaries of therapeutic client-centered care. In this scenario, what knowledge, skills, and attitudes should the nurse consider to guide a response to the client?

2 .
How can nursing assessment increase safety with clients in mental health care?
3 .
Why is client safety a nursing priority, and what factors should nurses consider in assessing potential risks?
4 .
Give examples of how you would take action to meet nursing responsibilities associated with psychiatric advance directives in the categories of client teaching, client advocacy, and therapeutic relationship.
5 .
In a few sentences, describe nurses’ possible reactions to appointment of a guardian or conservator for a person living with mental illness, and offer strategies to address these.
Citation/Attribution

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at https://openstax.org/books/psychiatric-mental-health/pages/1-introduction
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at https://openstax.org/books/psychiatric-mental-health/pages/1-introduction
Citation information

© Jun 25, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.