What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate

rapport and trust with the nurse.

self-responsibility and autonomy.

a greater sense of independence.

resolved transference.

Answer and Explanation

The Correct Answer is A

A. The orientation stage focuses on establishing trust, building rapport, clarifying roles, and setting boundaries. Developing trust and rapport is essential before deeper therapeutic work can occur.
B. Self-responsibility and autonomy are outcomes seen later in the working/termination phases as the patient gains insight and coping skills.
C. A greater sense of independence is expected as the therapeutic relationship progresses, not in the orientation stage.
D. Transference (patient projecting feelings onto the nurse) may occur at any phase and is addressed in the working phase, not resolved in orientation.

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Correct Answer is B

Explanation

A. Intervening when a self-mutilating patient attempts to harm self reflects beneficence and nonmaleficence, prioritizing safety rather than autonomy.

B. Supporting the patient to explore alternatives and make their own choice directly respects and promotes the ethical principle of autonomy.

C. Staying with a patient demonstrating a high level of anxiety demonstrates beneficence by providing support, not autonomy.

D. Suggesting restrictions for patients who were fighting reflects justice or safety measures, not the patient’s personal decision-making.

A. Tranylcypromine sulfate (Parnate) B. Amitriptyline (Elavil) C. Desipramine (Norpramin) D. Fluoxetine (Prozac)

Correct Answer is D

Explanation

A. Tranylcypromine sulfate (Parnate) is a monoamine oxidase inhibitor (MAOI) that carries a high risk of toxicity in overdose and is generally avoided in patients with a history of suicide attempts.

B. Amitriptyline (Elavil) is a tricyclic antidepressant (TCA), which can be lethal in overdose, making it unsafe for patients at high risk for suicide.

C. Desipramine (Norpramin) is also a TCA and poses a similar overdose risk as amitriptyline, so it is not preferred for suicidal patients.

D. Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI), which has a much lower lethality in overdose compared to TCAs or MAOIs, making it the preferred choice for patients with a history of suicidal behavior.

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What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate

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Naxlex Comprehensive Predictor Exams

Which action by a psychiatric nurse best applies the ethical principle of autonomy?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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