A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response
a. "Thank you. I would enjoy having a cup of coffee with you."
b. "Thank you, but I would prefer to proceed with the assessment."
c. "No, but thank you. I never accept drinks from patients or families."
d. "Our agency policy prohibits me from eating or drinking in patients' homes."
ANS: A
Accepting refreshments or chatting informally with the patient and family represent therapeutic use of self and help to establish rapport. The distracters fail to help establish rapport.
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A) 1 B) ¾ C) ½ D) ¼
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1. Applying an ice pack to the area. 2. Discontinuing the IV and applying warm packs. 3. Requesting a new order for IV antibiotics to be infused at the site. 4. Sending the IV catheter and tubing to the laboratory for analysis.
An adult with attention deficit hyperactivity disorder (ADHD) says, "I've always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can't keep a job."
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