Author Question: A client has been admitted for treatment of a compound fracture of the femur sustained when she fell ... (Read 62 times)

P68T · **on:** Jul 19, 2018

A client has been admitted for treatment of a compound fracture of the femur sustained when she fell
while intoxicated. The nurse has cared for the client on previous admissions for similar problems.

The nurse admits to feeling angry and frustrated at seeing the client in this condition. The action by
the nurse that would be most beneficial for the client is to
a. ask to be reassigned because he cannot help the client.
b. cover his feelings by being particularly pleasant to the client.
c. ask how he can help the client find a better solution to her problems.
d. seek supervision to get help with negative feelings about the client.

Question 2

A college student who attempted suicide by overdose was treated in the emergency department and,
because she had no available social supports, was hospitalized.

An outcome related to the client's
risk for self-directed violence is that the client will
a. exercise suicide self-restraint by refraining from making gestures or attempts to
kill self.
b. verbalize a will to live by the end of the second hospital day.
c. describe two new coping mechanisms she can use by the end of the third hospital
day.
d. accurately delineate personal strengths by the end of first week of hospitalization.

lindahyatt42 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
The nurse who uses the approach of honestly acknowledging feelings is able to maintain congruence
between nonverbal and verbal communication. This approach shows the nurse's concern for the
client's well-being. Option A, an avoidant approach by the nurse, would confirm for the client her
lack of worth and the hopelessness of her situation. Option B is not an honest approach. The nurse's
true feelings would probably be conveyed nonverbally. Option C: This approach reveals the nurse's
feelings of helplessness.

Answer to Question 2

A
Suicide self-restraint relates most directly to the priority problem of risk for self-directed violence.
The other outcomes are related to hope, coping, and self-esteem.