Author Question: The psychiatric nurse makes a home visit to a Hispanic patient with major depression. The patient ... (Read 73 times)

rl · **on:** Jul 19, 2018

The psychiatric nurse makes a home visit to a Hispanic patient with major depression. The patient greets the nurse, smiles, and eagerly offers to make coffee.

The nurse initiates a handshake, politely refuses the coffee, and suggests they talk about the patient's progress. During the session, the nurse notes the patient becomes less spontaneous and more withdrawn. The nurse should correctly analyze that: a. social touch is inappropriate for Hispanic patients.
b. the patient may feel rejected by the nurse.
c. the patient is experiencing rapid cycling.
d. the nurse introduced a forbidden topic.

Question 2

A male client with a diagnosis of schizophrenia begins to have hallucinations during a conversation with the nurse; this prevents him from receiving the message that the nurse is trying to communicate to him.

According to Ruesch's theory of communication, this unsuccessful interaction is called _____ communication. a. Disturbed
b. Nontherapeutic
c. Blocked
d. Therapeutic

af · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
In the Hispanic culture, good etiquette requires accepting offers of food and spending some time in small talk before getting down to business. The nurse behaved impolitely by the patient's standards. Rapid cycling is related to rapid mood swings of bipolar disorder. Data are not present to suggest that the nurse touched on a taboo topic. Patients of Hispanic culture engage in high touch behaviors.

Answer to Question 2

A
Ruesch called this type of interrupted communication disturbed communication. In addition to interference with receiving a message, as in the case of this client, the term applies to interference with the sending of messages, problems in language between people, insufficient information, and lack of the opportunity for feedback. Ruesch's theory did not coin the term nontherapeutic or blocked communication, and this interaction would not be considered therapeutic.