Author Question: Which statement(s) by patients with serious, persistent mental illness best demonstrate that the ... (Read 37 times)

sjones · **on:** Jul 19, 2018

Which statement(s) by patients with serious, persistent mental illness best demonstrate that the case manager has established an effective long-term relationship? (Select all that apply.) My case manager:

a. talks in language I can understand.
b. helps me keep track of my medication.
c. gives me little gifts from time to time.
d. looks at me as a whole person with lots of needs.
e. lets me do whatever I choose without interfering.

Question 2

A nurse cared for a terminally ill patient over a month and looked forward to spending time with this patient. After the patient died, the nurse began to sleep poorly, lacked energy, and felt depressed.

Eventually the nurse explained these feelings to a mentor. The mentor should counsel the nurse: a. about stress-reduction strategies.
b. to seek therapy for dysfunctional grief.
c. about the experience of disenfranchised grief.
d. to consider taking a leave of absence to pursue healing.

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

Answer to Question 1

A, B, D
Each correct answer is an example of appropriate nursing foci: communicating at a level understandable to the patient, providing medication supervision, and using holistic principles to guide care. The distracters violate relationship boundaries or suggest a laissez faire attitude on the part of the nurse.

Answer to Question 2

C
The nurse is experiencing disenfranchised grief. Nurses often incur loss that is not openly acknowledged or publicly mourned. Loss of a patient may not be recognized or acknowledged by others, so the grief is solitary and uncomforted and may be difficult to resolve.