An initial step in the nurse–patient relationship for a patient diagnosed with anorexia nervosa should be
a. formulate the nurse–patient contract.
b. exclude the family from treatment.
c. recommend a therapeutic group.
d. use intense confrontation.
A
Trust is the foundation to the nurse's effectiveness. A contract is formulated early in therapy to give the patient the opportunity to participate in treatment. This increases the patient's sense of control. By establishing contractual behavioral limits, manipulation and power struggles can be minimized. Recommending a therapeutic group and using confrontation to attack denial are later interventions. Family members are encouraged to take part actively in the treatment of the patient.
You might also like to view...
Which of the following best describes how the federal government determines which projects are awarded special funding for health care?
a. Those that are consistent with societal priorities, such as 2020 Health Objectives b. Those that are supported by legislators c. Those that are written by health care organizations that have special needs d. Those that are consistent with the state's long-term health goals
A nurse is removing sterile gloves after a procedure is completed. Which of the following actions is necessary during this procedure?
a. Keep soiled gloves from touching the client. b. Place soiled gloves in a recycling container. c. Wash gloved hands before removal. d. Remove gloves without coming into contact with soiled surfaces.
The nurse has created a plan of care for a patient who is at risk for increased ICP. The patient's care plan should specify monitoring for what early sign of increased ICP?
A) Disorientation and restlessness B) Decreased pulse and respirations C) Projectile vomiting D) Loss of corneal reflex
A nurse of Hispanic descent is assigned to provide care to a patient of the same culture. How would the assignment benefit the patient?
1. The nurse will not make any cultural errors. 2. The nurse will provide expert care. 3. The nurse will make sure the patient has a timely discharge. 4. The nurse is culturally competent.