The nurse educator is teaching a group of students about psychiatric–mental health nursing concepts. Which intervention best demonstrates practicing with the concept known as detached concern?
1. Sharing personal beliefs and opinions in order to enhance connection with the client
2. Providing a critical perspective of the client's feelings
3. Setting rigid boundaries to separate the nurse's experience from the client's
4. Sitting quietly with a client who is sobbing uncontrollably
4
Rationale: Sitting with a client who is experiencing a difficult emotion means the nurse is comfortable with people who may not be able to control their feelings and can separate the client's experiences and feelings from the nurse's self-view. Sharing personal beliefs with clients indicates the nurse cannot separate the nurse's identity from the client's identity. Setting rigid boundaries indicates the nurse's identity is threatened by the client's behaviors. Providing a critical perspective of a client's feelings invalidates the client's experience and interferes with a therapeutic relationship.
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A patient has been diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What physical symptoms would the nurse expect?
A) Tachycardia and hypotension B) History of weight loss C) Edema and hypertension D) Dry skin and mucosa
The client is to receive Sandostatin 0.05 mg subcutaneously daily. The medication is available as Sandostatin 100 mcg/1 mL. Which syringe should the nurse use to administer the medication?
A) 3 mL B) Insulin 50 unit C) Insulin 100 unit D) 1 mL precision
A significant problem related to the deinstitutionalization of the mentally ill is:
1. Insufficient community mental health services 2. An increase in independent living settings with excessive supervision 3. Mentally ill clients of all ages were admitted to nursing homes 4. Increased cost of care
The school nurse is teaching parents about the effects of bullying on school children. What accurately describes this developmental concern?
A) Children who bully are those who report themselves as being lonely and having difficulty in forming friendships. B) Children with health issues, such as, disabilities, obesity and food allergies, are at a decreased risk of being bullied. C) In general, about 20% of all children attending school are frightened and afraid most of the day. D) Both boys and girls are bullied; boys usually bully boys and use force more often.