Author Question: Which of the following characteristics should be included in a therapeutic nurse-client ... (Read 58 times)

daltonest1984 · **on:** Jul 19, 2018

Which of the following characteristics should be included in a therapeutic nurse-client relationship? (Select all that apply.)

1. Meeting the psychological needs of the nurse and the client
2. Ensuring therapeutic termination
3. Promoting client insight into problematic behavior
4. Collaborating to set appropriate goals
5. Meeting both the physical and psychological needs of the client

Question 2

A nurse is reviewing progress notes on a newly admitted client. One progress note reveals that the client purposefully inserted a contaminated catheter into urethra, leading to a urinary tract infection.

The nurse recognizes this behavior as characteristic of which mental disorder? 1. Illness anxiety disorder
2. Factitious disorder
3. Functional neurological symptom disorder
4. Depersonalization-derealization disorder

Ddddd · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2, 3, 4, 5
Rationale: The nurse-client therapeutic relationship should include promoting client insight into problematic behavior, collaboration to set appropriate goals, meeting the physical and psychological needs of the client, and ensuring therapeutic termination. Meeting the nurse's psychological needs should never be addressed within the nurse-client relationship.

Answer to Question 2

2
Rationale: Factitious disorders involve conscious, intentional feigning of physical or psychological symptoms. Individuals with factitious disorder pretend to be ill in order to receive emotional care and support commonly associated with the role of patient. Individuals become very inventive in their quest to produce symptoms. Examples include self-inflicted wounds, injection or insertion of contaminated substances, manipulating a thermometer to feign a fever, urinary tract manipulation, and surreptitious use of medications.