Answer to Question 1
A, B, D, F
This patient may have successfully convinced the nurse that he had made more progress than was actually the case. Patients may manipulate staff in this way to get increased privileges or achieve discharge. Inexperienced nurses often have high expectations for the progress of personality disorder patients and fail to appreciate how enduring the patient's behavior patterns have become, and as a result, how likely it is that progress can be incomplete or subject to regression. The nurse may have allowed positive but superficial behaviors or traits in the patient to lead her to overestimate his progress (i.e., she lost objectivity). The nurse might also have been genuinely disappointed; the initial reaction to relapse or continuing acting-out behaviors is often disappointment. The scenario does not provide data supporting a role for guilt or a defective relationship in the nurse's response.
Answer to Question 2
4
Assertiveness is the ability to directly express one's feelings in a way that respects the rights of other people yet retains one's dignity.
Sharing patient information with colleagues is an important nursing role
Taking a Patient’s Axillary Temperature
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
PET scan of the brain in a patient with Alzheimer’s disease.
Drugs for bipolar disorder
Patient teaching: lung assessment