A patient confides to the nurse that she feels guilty about the poor relationship she had with her mother-in-law, who is now deceased
The patient tells the nurse that she is sure God will punish her for this and that she needs to confess her sins to someone. Which of the following is the best response by the nurse?
a. "Would you like to speak to the chaplain when he comes later today? In the meantime, we could talk about your relationship with your mother-in-law."
b. "It sounds as if you need to talk about this. Let's sit down in a private area. I'd like to know more about your relationship with your mother-in-law."
c. "We all have trouble with our in-laws occasionally. God doesn't punish us for that."
d. "What's done is done. We need to focus on your positive qualities."
ANS: A
The patient has identified a specific spiritual problem that a chaplain would be equipped to handle, so a referral is appropriate. The nurse, in the meantime, is equipped to discuss rela-tionship issues. Offering to talk about the relationship without addressing the patient's ex-pressed spiritual needs is not therapeutic. Suggesting that the patient's relationship issues are not uncommon minimizes the patient's feelings. Attempting to refocus the patient dismisses the patient's needs.
You might also like to view...
A nursing supervisor is about to meet with a staff nurse suspected of diverting client medications. Which of the following assessment data would lead the supervisor to suspect that the staff nurse is impaired? (Select all that apply.)
1. The staff nurse is frequently absent from work. 2. The staff nurse experiences mood swings. 3. The staff nurse makes elaborate excuses for behavior. 4. The staff nurse frequently uses the restroom. 5. The staff nurse has a flushed face.
The nurse is caring for a patient with increased intracranial pressure (ICP). The patient has a nursing diagnosis of Ineffective cerebral tissue perfusion. What would be an expected outcome that the nurse would document for this diagnosis?
A) Copes with sensory deprivation. B) Registers normal body temperature. C) Pays attention to grooming. D) Obeys commands with appropriate motor responses.
A 25-year-old patient has been newly diagnosed with Parkinson's disease, and the prescriber is considering using pramipexole [Mirapex]. Before beginning therapy with this drug, the nurse will ask the patient about:
a. any history of alcohol abuse or compulsive behaviors. b. any previous history of hypertension. c. difficulty falling asleep or staying asleep. d. whether any family members have expe-rienced psychoses.
Seroconversion of HIV generally occurs
a. 7 to 10 days after exposure c. 3 to 6 months after exposure b. 6 to 12 weeks after exposure d. 1 year after exposure