Always Curious: Exploring Reasons Behind a Client's Desire to Be Discharged

Why is it important for a nurse to explore a client's reasons for wanting to be discharged?

A female client on the mental health unit frequently asks the nurse when she can be discharged. Then, becoming more anxious, she begins to pace the hallway. What intervention should the nurse implement first?

A) Explore the client's reasons for wanting to be discharged.

B) Administer a sedative medication.

C) Call the client's family to discuss discharge plans.

D) Inform the client that she needs to remain in the unit.

Answer:

The nurse should prioritize effective communication with the patient. Thus, the right intervention would be to first explore the client's reasons for wanting to be discharged.

Exploring the client's reasons for wanting to be discharged is crucial for several reasons. Firstly, it helps the nurse understand the underlying factors driving the client's desire to leave the unit. By listening to the patient's concerns and reasons, the nurse can provide appropriate support and address any misconceptions or fears the client may have.

Effective communication and active listening are key components of nursing care, especially in mental health settings. By exploring the client's reasons, the nurse can build rapport and trust with the patient, leading to a more collaborative and productive therapeutic relationship.

Furthermore, understanding the client's perspective allows the nurse to tailor care plans and interventions to meet the individual needs of the patient. This personalized approach can help alleviate anxiety, improve patient outcomes, and enhance overall satisfaction with care.

In summary, exploring the client's reasons for wanting to be discharged is not only essential for addressing immediate concerns and anxieties but also for promoting holistic and patient-centered care in mental health settings.

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