Author Question: The nurse working in disaster situations should also attend to his/her own self-care. To maintain ... (Read 33 times)

sc00by25 · **on:** Jul 19, 2018

The nurse working in disaster situations should also attend to his/her own self-care. To maintain positive self-care, the nurse should avoid:

1. Utilizing healthy coping mechanisms.
2. Monitoring one's own reactions.
3. Keeping a journal to write thoughts and feelings.
4. Focusing on improving interventions for the next crisis.

Question 2

A client with borderline personality disorder gives written notice of intention to leave the hospital after a voluntary admission. The client tells the nurse, I will rescind my notice if you expand my smoking privileges.

The nurse should respond in a way that: 1. Convinces the client to rescind the notice.
2. Provides exceptions to the unit rules.
3. Refers the client to the physician.
4. Consistently reinforces the unit rules.

welcom1000 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: Though it is important to evaluate actions for improvement in responding to future crises, focusing on what was done correctly promotes encouragement. Monitoring one's own reactions helps the nurse to continue to choose therapeutic interventions. Utilizing healthy coping mechanisms promotes mental health. Keeping a journal to write thoughts and feelings is helpful to express feelings and emotions, a key step in processing the experience.

Answer to Question 2

4
Rationale: The client is exhibiting manipulation. The nurse should incorporate clear, concise, and consistent limit setting and directions. When infractions of the rules or manipulative behavior occur, apply consequences immediately. Responding consistently to the manipulative behavior will help gradually lessen its intensity. It would encourage staff splitting to refer the client to the physician. Attempting to coerce a client to change, or allowing rule exceptions, is nontherapeutic and counterproductive.