When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics?

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Question 1 of 5

When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics?

Correct Answer: D

Rationale: The correct answer is D because it focuses on the patient's observable behavior rather than labeling the patient as "manic." This approach respects the patient's dignity and avoids stigmatization. Choice A labels the patient without considering individuality. Choice B uses "is a manic," which is not person-first language. Choice C uses "possibly a manic," which introduces uncertainty and is not respectful. By focusing on the behavior in choice D, the nurse can provide care based on the patient's current needs rather than making assumptions.

Question 2 of 5

When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations?

Correct Answer: C

Rationale: The correct answer is C: Reflecting on personal behaviors and personal needs. This is crucial as Peplau emphasized the importance of self-awareness and understanding one's own biases to maintain a patient-centered approach. By reflecting on personal behaviors and needs, the nurse can ensure that their own issues do not interfere with the therapeutic relationship. Assessing for unexpressed concerns (A) is important but not directly related to focusing on the patient. Evaluating additional training (B) is important but not specific to maintaining the patient as the focus. Avoiding power struggles (D) is important but does not address the need for self-reflection to keep the patient at the center of therapeutic conversations.

Question 3 of 5

As you begin working with her, you notice Ms. V has an uncanny resemblance to your younger sister. As a child, this sister lied and criticized you constantly, then screamed and cried to others if you challenged her. You realize that you are responding negatively to this patient. What’s going on here?

Correct Answer: D

Rationale: The correct answer is D: Countertransference. Countertransference refers to the therapist's emotional reaction towards a client based on the therapist's own unresolved feelings or experiences. In this scenario, the therapist is reacting negatively to the patient due to unresolved feelings related to their past interactions with their younger sister. This negative reaction can impact the therapeutic relationship and the therapist's ability to provide effective treatment. Summary: A: Mutuality does not address the therapist's personal reaction to the patient. B: Self-System focuses on the client's self-concept, not the therapist's reaction. C: Self-actualization pertains to the client's personal growth, not the therapist's emotional response.

Question 4 of 5

A newly divorced 36-year-old mother of three has difficulty sleeping. When she shares this information to her gynecologist, she suggests which of the following services as appropriate for her patient's needs?

Correct Answer: B

Rationale: The correct answer is B: Patient-centered medical home. This option is appropriate because it offers comprehensive, coordinated, and patient-centered care, which is crucial for addressing the patient's sleep difficulties. The patient's primary care provider can coordinate care, ensuring all her medical and emotional needs are met, including managing stress associated with divorce. Incorrect choices: A: Assertive community treatment is more suitable for individuals with severe mental illnesses who require intensive community-based support. C: Psychiatric home care is typically for individuals with severe mental health issues requiring specialized psychiatric services at home. D: While the primary care provider is essential, simply referring the patient back to them may not address the underlying causes of her sleep difficulties comprehensively.

Question 5 of 5

Which intervention demonstrates a nurse's understanding of the initial action associated with the assessment of a patient's spiritual beliefs?

Correct Answer: C

Rationale: The correct answer is C because asking the patient what role spirituality plays in daily life shows understanding of the initial action in assessing spiritual beliefs. This approach allows the nurse to gather information directly from the patient, which is essential in understanding individual beliefs. Choice A may assume the patient's beliefs, choice B involves outside intervention, and choice D focuses on providing care rather than assessing beliefs.

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