Author Question: A nurse who has spent an hour with a highly anxious patient shares with a peer, I'm really feeling ... (Read 27 times)

joblessjake · **on:** Jul 19, 2018

A nurse who has spent an hour with a highly anxious patient shares with a peer, I'm really feeling uptight I need a quiet place to be alone.. This can be attributed to:

a. hypersensitivity on the nurse's part.
b. anxiety resulting from the patient contact.
c. fatigue from the effort of establishing a relationship.
d. a threat to the nurse's self-esteem created by a difficult patient.

Question 2

An advanced practice psychiatric nurse is working with a client who is diagnosed with obsessive-compulsive personality disorder and asthma.

The client has recently moved from his elderly parents' home to an assisted-living group home that allows pets. The nurse selects the concept map method of organizing the case information and constructing a comprehensive care plan for this client because it: a. clearly shows the linear progression of the client's developmental milestones
b. neatly compartmentalizes and differentiates the psychosocial from the physical issues
c. vividly shows the reciprocal interconnectedness of both psychosocial and physical issues
d. succinctly determines which issues are and are not appropriate for the care plan to address

mjbamaung · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Anxiety is communicated interpersonally. Just as patients can become more anxious when the nurse is anxious, so too can nurses experience anxiety that has been transmitted by the patient.

Answer to Question 2

C
A concept map will vividly show the interconnectedness of both psychosocial and physical issues by displaying graphically how each issue relates to, influences, and is influenced by other issues. In addition, the concept map will help identify issues that are focal areas for the client. The concept map is needed because the client not only has a psychological disorder but also a physical illness (asthma). The exposure to pets in an assisted-living facility must be considered when planning for this client.