Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?
Self-awareness enhances the nurse's advocacy role.
Positive feelings promote the development of sympathy for patients.
Strong negative feelings interfere with assessment and judgment.
Strong positive feelings lead to healthy transference with the victim.
The Correct Answer is C
A. While self-awareness is beneficial, the primary reason for monitoring personal feelings is to prevent bias and maintain objectivity, not only to enhance advocacy.
B. Sympathy may be natural, but unchecked positive feelings do not replace professional assessment or judgment.
C. Nurses who experience anger, frustration, or judgment toward the family or situation may misinterpret information, make biased decisions, or fail to provide appropriate support. Awareness of personal feelings helps maintain objective and effective care.
D. Strong positive feelings can still lead to boundary issues or inappropriate transference, which is not the intended goal of professional self-awareness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Chronic deterioration refers to a gradual, long-term decline in functioning, not the sudden emergence of new or worsening psychotic symptoms.
B. While relapse can sometimes be related to nonadherence, there is no direct evidence here that the patient has stopped taking medication, so this cannot be assumed.
C. Psychoeducation may be helpful, but the immediate concern is the reemergence of psychotic symptoms, not just a lack of understanding about the illness.
D. The patient is displaying insomnia, tension, difficulty concentrating, and paranoid delusions, which are early warning signs of a psychotic relapse in schizophrenia. Prompt intervention is necessary to prevent full exacerbation.
Correct Answer is A
Explanation
A. The highest priority is monitoring for refeeding syndrome, a potentially fatal complication when nutrition is reintroduced after prolonged starvation. It causes severe electrolyte shifts (especially hypophosphatemia, hypokalemia, and hypomagnesemia) and cardiac/respiratory complications.
B. Important, but not priority. Therapeutic communication builds trust, but physiological safety is the first concern.
C. Help the patient balance energy expenditures with caloric intake. – Useful long-term. This supports recovery but is not immediately life-saving.
D. Assess for depression and anxiety. – Necessary, but secondary. Mental health evaluation is part of holistic care, but immediate physical safety takes precedence.
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