Author Question: A nurse whose father was an alcoholic is assigned to care for a client who is in alcohol withdrawal. ... (Read 59 times)

ghost! · **on:** Jul 8, 2018

A nurse whose father was an alcoholic is assigned to care for a client who is in alcohol withdrawal. The nurse's best therapeutic action would be to

a. request another assignment.
b. deliver care in short intervals to avoid projecting negativity.
c. examine personal vulnerabilities, strengths, and limitations.
d. monitor the client's physical status closely.

Question 2

When your are administering medications to a client with human immunodeficiency virus (HIV), the client states, I should just stop taking them and get it over with. A therapeutic response by the nurse would be

a. You have to take these If you stop you will get very sick.
b. You're just feeling depressed right now. You'll feel better later.
c. Tell me more about what you're feeling.
d. You have the right to refuse treatment.

nicoleclaire22 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C
Authenticity is a precondition for the therapeutic use of self in the nurse-client relationship. Authenticity requires recognizing personal vulnerabilities, strengths, and limitations; working within this knowledge in the service of the client; and seeking help when needed to further relationship goals. Self-awareness allows the nurse to fully engage with a client, knowing that parts of the relationship may be painful, distasteful, or uncomfortable. Eventually the nurse will have to deal with the issue. Shortening care time would not be therapeutic. The nurse needs to be emotionally available to the client to be therapeutic.

Answer to Question 2

ANS: C
Therapeutic relationships should directly revolve around the client's needs and each person's individualized expression of them. Using questions that follow a logical sequence and asking only one question at a time are practices that help clients feel more comfortable and are likely to elicit more complete data. Dealing with the client's feelings with a statement such as, Tell me more about keeps the conversation flowing. The client has the right to choose a course of action, even when it is at odds with the nurse's ideas. The nurse stating how the client is feeling is an assumption by the nurse about what the client is feeling. Although the client has the right to refuse treatment, he is not really saying that he will refuse. The nurse needs to obtain more information.