Author Question: A nurse and patient who developed a therapeutic relationship enter into the final phase of their ... (Read 51 times)

kwoodring · **on:** Jul 19, 2018

A nurse and patient who developed a therapeutic relationship enter into the final phase of their relationship as the patient prepares for discharge. An important nursing intervention for this stage is for the nurse to

a. provide structure and intensive support.
b. inform the patient of the progress made.
c. encourage the patient to describe goals for change.
d. discuss feelings about termination with the patient.

Question 2

A psychiatric nurse should base care of patients diagnosed with Parkinson's disease and patients demonstrating extrapyramidal side effects (EPSEs) caused by antipsychotic drug therapy on the premise that symptoms

a. are the same for both problems.
b. result from deficits in dopamine synthesis.
c. result from acetylcholine and dopamine imbalance.
d. are produced by neurodegeneration of the substantia nigra.

Juro · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Healthy closure is facilitated when the patient discusses his or her reactions to termination and the feelings that she or he might be experiencing. The nurse serves as a role model during termination. Providing structure is related more to the orientation and working stages. Informing the patient of progress is paternalistic. The process of termination is facilitated by collaborative work. Describing goals takes place with passage from the orientation to the working stage.

Answer to Question 2

C
In both problems, acetylcholine and dopamine are not in balance. In Parkinson's disease, this results from neurodegeneration of the substantia nigra, and in the case of EPSEs, the cause is blockade of dopamine receptors in the basal ganglia. The other options are not valid premises.