Which statement reflects an accurate understanding of when termination would first be discussed as part of the nurse-patient relationship?
"Now that we've discussed your reasons for being here and how often we will meet. I'd like to talk about what we will do at the time of your discharge."
"You are being discharged today, so I’d like to bring up the subject of termination which includes discussing your time here and summarizing what coping skills you have attained.
"Now that we are working on your problem-solving skills and the behaviors you'd like to change like to bring up the issue of termination
Haven’t met my new patient yes, but am working through my findings of anxiety in dealing with patient who wanted to kill herself
The Correct Answer is C
Choice A Reason:
"Now that we've discussed your reasons for being here and how often we will meet, I'd like to talk about what we will do at the time of your discharge." This option seems to introduce the topic of termination prematurely, especially if the client's issues and goals haven't been adequately addressed yet.
Choice B Reason:
"You are being discharged today, so I'd like to bring up the subject of termination, which includes discussing your time here and summarizing what coping skills you have attained."This option presents termination at the time of discharge without prior discussion or collaboration with the client.
Choice C Reason:
"Now that we are working on your problem-solving skills and the behaviors you'd like to change, I'd like to bring up the issue of termination." In therapeutic relationships, termination is an essential phase that involves discussing the ending of the relationship and summarizing the progress made. Bringing up the topic of termination when actively working on the client's goals and issues is appropriate. It allows for a collaborative discussion about the achievements, future plans, and coping strategies that the client has developed during the therapeutic process.
Choice D Reason:
"I haven't met my new patient yet, but am working through my feelings of anxiety in dealing with a parent who wanted to kill herself." This statement is not related to the discussion of termination in the ongoing nurse-patient relationship.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Limited the role of the nurse to medication administration and documentation is inappropriate. Peplau's theory goes beyond medication administration and documentation. It emphasizes the interpersonal aspect of nursing, focusing on the therapeutic relationship between the nurse and the patient.
Choice B Reason:
Included both an interpersonal theory and a definition of nursing roles is appropriate. Peplau's Interpersonal Theory of Nursing focuses on the nurse-patient relationship and includes both an interpersonal theory and a definition of nursing roles. Peplau emphasized the importance of the nurse's therapeutic use of self in the relationship with the patient.
Choice C Reason:
Depended on moral theory linked to gender is inappropriate. Peplau's theory is not specifically linked to moral theory or gender. It is more focused on the dynamics of interpersonal relationships in the healthcare context.
Choice D Reason:
Defined the role of the nurse in the mental health setting as an extension of the psychiatrist is inappropriate. While Peplau's theory is applicable to mental health settings, it doesn't define the role of the nurse as merely an extension of the psychiatrist. It highlights the nurse's unique role in building therapeutic relationships and assisting patients in their psychosocial needs.
Correct Answer is A
Explanation
Choice A Reason:
Safety needs is correct. In this scenario, the individual's safety is compromised both at work (due to the potential layoff) and at home (due to intimate partner violence). Safety needs, which include physical and emotional security, are fundamental in Maslow's hierarchy and take precedence over other needs in this situation.
Choice B Reason:
Physiological needs is incorrect. While a possible layoff can impact financial stability, it may not directly threaten immediate access to basic physiological needs like food, water, and shelter. The immediate safety concern takes precedence.
Choice C Reason:
Love and belonging needs is incorrect. Although witnessing intimate partner violence can strain relationships and affect the sense of belonging, the primary concern in this scenario is the immediate threat to safety.
Choice D Reason:
Esteem needs is incorrect. The threat of a layoff and exposure to domestic violence can impact self-esteem, but the more critical issue at the moment is ensuring physical safety.
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