What behavior signals that a nurse caring for a patient with ...

[meagbuch]

What behavior signals that a nurse caring for a patient with bulimia nervosa is experiencing rescue feelings? The nurse:
 
  a. makes nonjudgmental comments.
  b. refers the patient to a self-help group for persons with eating disorders.
  c. teaches the patient about signs of increased anxiety and ways to intervene.
  d. determines the patient has poor eating habits and provides a diet to follow.

Question 2

An adolescent asks the nurse, Why should I tell you anything? You'll just tell my parents whatever you find out. Select the nurse's best reply.
 
  a. That isn't true. What you tell us is private and held in strictest confidence. Your parents have no right to know.
  b. Anything you say about feelings is private, but some things like suicidal thinking must be reported to the treatment team.
  c. Yes, your parents may find out what you say, but it is important that they know about your problems.
  d. It sounds as though you are not really ready to work on your problems and make changes.

[ntsoane kedibone]

Answer to Question 1

D
Rescue feelings stem from the nurse's wish to take over for or control a patient who is recognized by the nurse as feeling out of control. When a nurse experiences rescue feelings, the nurse tries to provide simple answers rather than use a problem-solving approach and focus on the patient's feelings of shame and low self-esteem. The other options reflect appropriate interventions that do not signal a particular need for supervision.

Answer to Question 2

B
The patient has a right to know that most information is held in confidence but that certain material must be reported or shared with the treatment team, such as threats of suicide, homicide, use of illegal drugs, or issues of abuse.