During a group session, a flirtatious patient with mania shares that several patients and the nurse "have bodies that are really nice.". The most therapeutic response from the nurse would be:
a. "Please go to your room. You're being inappropriate to me and the other patients.".
b. "I know your thoughts are very rapid right now. Let's walk to your room where you can take a 30-minute time-out.".
c. "Were you aware before you spoke that what you just said would offend me and the other patients on the unit very much?"
d. "Do not speak to me or others like this. Would you like to take this opportunity to apologize to me and the other patients?"
B
When patients are inappropriate and intrusive on the unit, the nurse will want to protect the patient (who will probably be embarrassed when his or her thinking clears), other inpatients, and self. The most therapeutic intervention is one that distracts the patient and enlists cooperation for a time-out before escalation of the behavior occurs. As the patient's mental status clears, the nurse's sensitivity to the patient will foster trust in the therapeutic relationship.
You might also like to view...
The rehabilitation team has reaffirmed the need to maximize the independence of a patient in rehabilitation. When working toward this goal, what action should the nurse prioritize?
A) Encourage families to become paraprofessionals in rehabilitation. B) Delegate care planning to the patient and family. C) Recognize the importance of informal caregivers. D) Make patients and families to work together.
An occupational health nurse sees the various injuries and diseases that persons can acquire from employment. Which of the following recommendations would the nurse most likely provide about safety in the workplace?
A. Find employment in physical labor; at least your body will be in good condition. B. Professional positions are the safest choice for employment. C. White collar positions provide the least risk for injury. D. There is no "safe" occupation or profession.
A client has been diagnosed as having Class I functional status cardiovascular disability as defined by the New York Heart Association. Which of the following statements regarding activity should the nurse make to this client?
A. "You have no limitations on ordinary physical activity." B. "The discomfort you experience may occur with ordinary physical activity." C. "Although you are comfortable at rest, you will experience some discomfort with less than ordinary physical activity." D. "The discomfort you have may be present even at rest, and discomfort may in-crease with any physical activity."
The nurse who can think critically will make more effective clinical decisions, meet more of the patient's needs, and affect positive patient outcomes. How this is accomplished? (Select all that apply.)
a. Committing to test one's own thought process for clarity, accuracy, and logic b. Accepting an individual responsibility to develop critical thinking skills c. Joining nursing organizations to keep current on nursing policies affecting patient care d. Constantly seeking out others for answers to difficult clinical questions and problems e. Requesting that health care organizations adopt and foster a culture of critical thinking f. Maintaining the required amount of continued education units for license renewal