The nurse notices that a co-worker seems to be distancing from a client who is dying from cancer. The nurse's best action is to:
1. Offer to trade assignments with this nurse.
2. Discuss the possibility of an unconscious distancing response with the co-worker.
3. Report her observations to the nurse supervisor.
4. Ask the co-worker if he has difficulty dealing with emotions.
2
Rationale: Distancing is a normal self-protective mechanism to avoid the pain of losing someone the nurse cares for. Because it is often a subconscious action, talking with the nurse and helping him recognize what is happening often is all that is needed to correct the situation. It also provides the nurse with someone to talk to about his feelings.
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A patient was admitted last night with a hip fracture sustained while intoxicated. The patient points to the Buck's traction and screams, "Why did you tie me up? Please let me go.". The patient is experiencing:
a. a delusion. b. an illusion. c. hallucinations. d. codependence.
A doctor orders a medical procedure that the staff nurse has reason to believe will harm the patient. Which accurately states the legal consequences of carrying out, or refusing to carry out, the procedure?
A) The staff nurse cannot be held legally liable for any harm to the patient if the procedure is carried out with due care. B) The nurse may lose his or her license by refusing to carry out the procedure. C) The nurse can be held legally liable for any harm if the procedure is carried out without question. D) The nurse can be held accountable for practicing medicine without a license.
The nurse is working with a client experiencing depression. The client has three children, one of whom was recently diagnosed with bipolar disorder. The nurse will most likely encourage the client to engage in:
A) Group therapy. B) Family therapy. C) Art therapy. D) Behavioral therapy.
The admission note indicates a patient with depression has anergia and anhedonia. For which measures should the nurse plan? Select all that apply
a. Channeling excessive energy b. Reducing guilty ruminations c. Instilling a sense of hopefulness d. Assisting with self-care activities e. Accommodating psychomotor retardation