Nurse 424 Psych Pop in Questions with verified solutions

Which |is |the |primary |nursing |goal |when |establishing |a |therapeutic |relationship |with |a |patient?

1. |To |promote |patient |growth

2. |To |develop |the |nurse's |personal |identity

3. |To |establish |a |purposeful |social |interaction

4. |To |develop |communication |skills |- |correct |answer |-1. |To |promote |patient |growth |(the |goal |of

| therapeutic |nursing |interaction |is |to |promote |patient |insight |and |behavioral |change |directed

| toward |patient |growth)



A |patient |threatens |to |kill |himself, |his |wife, |and |their |children |if |the |wife |follows |through |with

| divorce |proceedings. |During |the |pre-orientation |phase |of |the |nurse-patient |relationship, |which

| interaction |should |the |nurse |employ?

1. |Acknowledging |the |patient's |actions |and |encouraging |alternative |behaviors

2. |Establishing |rapport |and |developing |treatment |goals

3. |Providing |community |resources |in |aggression |management

4. |Exploring |personal |thoughts |and |feelings |that |may |adversely |impact |the |provision |of |care |-

| correct |answer |-4. |Exploring |personal |thoughts |and |feelings |that |may |adversely |impact |the

| provision |of |care |(preorientation |phase |happens |BEFORE |we |meet |the |patient)



The |nurse |is |caring |for |an |older |male |pt |who |states, |"You |remind |me |so |much |of |my |late |wife".




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, | During |subsequent |encounters |with |the |patient, |he |expresses |overwhelming |feelings |of

| affection |towards |the |nurse |and |states |" |I |don't |know |what |I |would |do |if |you |weren't |my |nurse.

| No |one |cares |for |me |like |you |do" |How |should |the |nurse |respond?

1. |Promote |safety |and |immediately |terminate |the |relationship |with |the |pt

2. |Encourage |the |client |to |ignore |these |thoughts |and |feelings

3. |Immediately |reassign |the |pt |to |another |nurse

4. |Help |the |pt |clarify |the |meaning |of |the |relationship |- |correct |answer |-4. |Help |the |pt |clarify |the

| meaning |of |the |relationship |(the |nurse |should |respond |to |the |patient's |transference |by |clarifying

| the |meaning |of |the |nurse-pt |relationship |based |on |the |present |situation. |Transference |occurs

when |the |client |unconsciously |displaces |feelings |about |a |person |from |the |past |toward |the
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| nurse.)



the |nurse |reads |an |MSE |that |describes |the |patient |as |exhibiting |rapid |and |pressured |speech.

| They |expect |the |patient |to |be...

1. |speaking |in |a |fast |and |urgent |manner

2. |talking |excessively |while |frequently |shifting |from |one |idea |to |another |and |not |answering |direct

| questions

3. |creating |new |words |or |combinations |of |several |words

4. |making |sudden |stops |in |the |flow |of |conversation |- |correct |answer |-1. |speaking |in |a |fast |and

| urgent |manner



The |nurse |reads |an |MSE |that |describes |the |patient |as |exhibiting |rapid |and |pressured |speech.

| They |expect |the |patient |to |be....

A. |speaking |in |a |fast |and |urgent |manner

B. |talking |excessively |while |frequently |shifting |from |one |idea |to |another |and |not |answering

| direct |questions




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