A nurse is caring for a client with major depressive disorder who is reluctant to attend a scheduled group therapy session. Which of the following actions by the nurse is most appropriate?
Inform the client that participation in group therapy is mandatory for all clients on the unit.
Encourage the client to attend and explore their reasons for not wanting to go.
Explain to the client that they will not be eligible for discharge if they do not participate in therapy.
Document the client's refusal in the chart and recommend they stay in their room.
The correct action is to encourage the client to attend the session and explore the reasons for their reluctance. This approach respects the client's autonomy while also using therapeutic communication to understand and address their concerns. Forcing a client to attend therapy by making it mandatory or threatening consequences like a delayed discharge is coercive and can damage the therapeutic relationship. Simply documenting the refusal without further engagement is a passive approach that fails to provide therapeutic support.
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NCLEX RN
Psychosocial Integrity
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