Exam (elaborations)
Keltner’s Psychiatric Nursing, 9th Edition Chapter 09 – Working With an Individual Patient
- Course
- Institution
Keltner’s Psychiatric Nursing, 9th Edition Chapter 09 – Working With an Individual Patient
[Show more]
Content preview
Keltner’s Psychiatric Nursing, 9th EditionChapter 09 – Working With an Individual
Patient
A new registered nurse (RN) reports experiencing difficulty knowing how to terminate a
relationship with a patient. What response should the nurse's preceptor make to address the
nurse's concern?
A. "If the relationship has been short, termination may not be necessary."
B. "Just say good-bye and good luck."
C. "Thank the patient for working with you and say how you valued the experience."
D. "Try to move through the termination phase as quickly as possible." - questions and
answers-C
Thanking the patient and acknowledging the value of the experience offers respect and support
to the patient while validating the importance of the relational opportunity for the nurse.
Termination is always appropriate and necessary therapeutically. Wishing the patient "good
luck" is not therapeutic, but instead is casual and informal. Termination should not be rushed,
and—depending upon the length of time in the relationship—planning and discussion of
termination for the patient and nurse are important.
A newly admitted patient is depressed and fears her husband will ask for a divorce and begins
to cry during the initial assessment interview. What nursing strategy should the nurse consider?
A. Postponing the assessment for later
B. Avoid commenting on her tears, and continue the assessment
C. Temporarily stopping the assessment to offer her a tissue
D. Asking her why her husband wants to divorce her - questions and answers-C
Stopping to offer the patient a tissue allows the patient (and the nurse) to pause, think, and
collect herself. Assessment initially may not be postponed; data forms the basis for the plan of
care, and the nurse-patient interaction initiates or establishes the therapeutic relationship.
Making the observation is therapeutic and validates support of the patient. "Why" questions are
considered nontherapeutic and could engender anger and/or defensiveness.
, newly admitted patient continually touches the nursing staff members and makes sexual
innuendoes when interactions are attempted. The initial therapeutic manner of managing such
behavior is demonstrated by what nursing action?
A. Asking to be reassigned to avoid triggering the behavior
B. Demanding firmly that the patient cease all inappropriate touching
C. Asking the patient to explain why the sexual innuendoes occur
D. Explaining that the behavior is inappropriate and must stop - questions and answers-D
Patients generally stop these behaviors when asked and should be reminded that these actions
are inappropriate. The nurse then discusses the underlying need. If the behaviors continue, then
setting limits can be stronger. Avoiding the patient without an explanation is incongruent with
professionalism. Demands are ineffective and disrespectful. While a discussion concerning the
behavior is appropriate, it is not the initial response.
patient experiencing a loss of reality believes in the angry voices in her head. The nurse should
initially respond to a newly admitted patient who is experiencing auditory hallucinations by
making which response?
A. "There are no voices in your head."
B. "Try to ignore them by listening to your favorite music."
C. "While I don't hear voices, I believe that you are."
D. "Just listen to my voice to distract yourself." - questions and answers-C
Initially the nurse acknowledges and respects the patient's experience while presenting reality
and avoiding reinforcement of the hallucinations. Stating that there are no voices discounts and
minimizes the patient's experience. It is nontherapeutic and may be argumentative. More
teaching and support of the patient will be required before distraction can be implemented, and
even then, it may not be possible or realistic for the patient.
The nurse is playing cards with a patient who becomes angry when losing. What statement
suggests that the nurse is using the experience to support learning new coping skills?
A. "I learn something even when I lose."
B. "It's just a game; just let it go."
C. "Let's talk about mistakes you made that resulted in losing."
D. "Let's do something else that doesn't involve winning or losing." - questions and answers-A
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lizmwikali72. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now