A patient who sought help in a crisis agrees after the first interview to return to the clinic for daily sessions
The nurse offers many suggestions for lifestyle changes the patient should make as crisis intervention progresses and provides after-hours phone support as well. After several sessions, which response on the nurse's part should most alert the nurse to a need for clinical supervision? a. Occasionally thinking about the patient's situation
b. Searching for other possible interventions to use
c. Feeling empathy for the patient's recent losses
d. Wishing that the patient would be less clingy
D
The nurse feels unrealistic responsibility to "cure" the patient's problems and may be motivated by a need to be needed. The daily sessions and after-hours phone contact suggest possible overinvolvement, and the patient's clinginess indicates that dependence has developed. The nurse is developing resentment in response. The nurse has failed to maintain appropriate professional boundaries, is experiencing countertransference, and should seek supervision to help her regain her objectivity and resolve the dependency in a therapeutic manner. Occasionally thinking about a patient's situation outside of sessions is neither unusual nor indicative of a need for supervision. Searching for additional interventions is not a red flag for supervision unless one is doing so in a manner that is very disproportionate to that exhibited in caring for other patients. Empathy is a therapeutic response and does not merit supervision (though sympathy might).
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The nurse prepares for the arrival of older adults evacuated from a hurricane to a shelter for short-term care. Which is the priority nursing intervention?
a. Demonstrate that the staff is prepared to meet their needs. b. Use individual medical records to develop a medication plan. c. Help older adults to display family photos and memorabilia. d. Help older adults to teach one another a new skill in the shelter.
A nurse is caring for a client with a fractured wrist that is currently in a cylinder cast. Which of the following actions should the nurse perform to assess the neuromuscular function of the client?
A) Monitor the mobility of the fingers. B) Assess the sensation in the exposed fingers. C) Observe the color of the client's nail beds. D) Measure pulse oximetry on an exposed finger.
The determination of a nursing care model or system of care delivery depends on (select all that apply):
a. patient care processes. b. health care provider roles. c. government reimbursement. d. the organization's philosophy. e. the identification of organizational struc-tures.
Which nursing theorist is best known for her emphasis on inferences based on observation of patient behavior, confirmation by the patient, and results in effective care based on identified patient needs?
a. Leininger b. Neuman c. Orlando d. Peplau