Psychiatric Technician Practice Exam

What is the most important nursing intervention when engaging with a newly admitted client who is suspicious?

1. Interact briefly and avoid making demands

2. Encourage the client to share their thoughts

3. Provide constant supervision

4. Use humor to lighten the mood

The correct answer is: Interact briefly and avoid making demands

When working with a newly admitted client who is suspicious, the most effective nursing intervention is to interact briefly and avoid making demands. This approach is crucial as clients with suspicious tendencies may feel threatened or overwhelmed by lengthy interactions or perceived pressure. Keeping interactions short and straightforward helps to build a sense of safety and control for the client, which can reduce their anxiety and resistance. By minimizing demands and maintaining a calm demeanor, the nurse fosters an environment where the client can begin to develop trust at their own pace. This method respects the client's current emotional state and acknowledges their feelings, which is vital for therapeutic engagement. Other options, while well-intentioned, may not be as suitable for this scenario. Encouraging the client to share their thoughts can be beneficial, but if the client is particularly suspicious, they may not feel safe opening up, which could lead to further withdrawal or defensiveness. Providing constant supervision might imply that the nurse doesn't trust the client, potentially exacerbating feelings of suspicion. Using humor could be misinterpreted and may not be appropriate, as it risks trivializing the client’s concerns or making them feel more alienated. Thus, interacting briefly while avoiding undue pressure is a foundational strategy for engaging such clients effectively.