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Author Question: A patient who sought help in a crisis agrees after the first interview to return to the clinic for ... (Read 76 times)

acc299

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on: Jul 19, 2018
A patient who sought help in a crisis agrees after the first interview to return to the clinic for daily sessions.
 
  The nurse offers many suggestions for lifestyle changes the patient should make as crisis intervention progresses and provides after-hours phone support as well. After several sessions, which response on the nurse's part should most alert the nurse to a need for clinical supervision? a. Occasionally thinking about the patient's situation
  b. Searching for other possible interventions to use
  c. Feeling empathy for the patient's recent losses
  d. Wishing that the patient would be less clingy

Question 2

The client is hearing voices and seeing things that are not there. He complains of having no energy and not caring about anything. His physician has diagnosed his problems as schizo-phrenia and has prescribed an
 
  1. antiepileptic.
  2. antipsychotic.
  3. antidepressant.
  4. antianxiety drug.


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sierramartinez

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Reply #1 on: Jul 19, 2018
Answer to Question 1

D
The nurse feels unrealistic responsibility to cure the patient's problems and may be motivated by a need to be needed. The daily sessions and after-hours phone contact suggest possible overinvolvement, and the patient's clinginess indicates that dependence has developed. The nurse is developing resentment in response. The nurse has failed to maintain appropriate professional boundaries, is experiencing countertransference, and should seek supervision to help her regain her objectivity and resolve the dependency in a therapeutic manner. Occasionally thinking about a patient's situation outside of sessions is neither unusual nor indicative of a need for supervision. Searching for additional interventions is not a red flag for supervision unless one is doing so in a manner that is very disproportionate to that exhibited in caring for other patients. Empathy is a therapeutic response and does not merit supervision (though sympathy might).

Answer to Question 2

2
Drugs of choice for schizophrenia


acc299

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Reply #2 on: Jul 19, 2018
Correct answers!


sierramartinez

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Reply #3 on: Jul 19, 2018
Great! Please up vote :D


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