Author Question: A nurse manager is mentoring a junior nurse. The junior nurse models everything after the manager, ... (Read 44 times)

Deast7027 · **on:** Jul 19, 2018

A nurse manager is mentoring a junior nurse. The junior nurse models everything after the manager, and even dresses like the manager. How would the manager address the junior nurse's identification?

1. You can just have a copy of my plans.
2. I appreciate you wanting my help, but these plans have to represent your personal desires and goals.
3. You're becoming too dependent on me. Can't you just think for yourself?
4. I'll be glad to look over your work after you come up with some of your own ideas.

Question 2

Some clients are at increased risk of being dually diagnosed with a mental health disorder and a substance abuse disorder.

The client with a mental health disorder that is more likely to exhibit substance abuse in an attempt to avoid traumatic memories is the client with: 1. PTSD.
2. Dissociative fugue.
3. OCD.
4. Generalized anxiety disorder.

af · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: Offering to look at the junior nurse's work after it is written is the best approach because it encourages initiative without entirely stripping away the junior nurse's sense of security. Suggesting the junior nurse is too dependent and cannot think for him or herself is a harsh confrontation of identification which will increase the junior nurse's anxiety. Suggesting that the junior nurse needs to develop a personal plan helps clarify expectations but does not offer initial support. Offering a copy of plans does not do anything to address identification and may be threatening to the junior nurse as it could sound critical.

Answer to Question 2

1
Rationale: Substance abuse is found in many clients with PTSD as they try to suppress traumatic memories. OCD, generalized anxiety disorders, and dissociative fugue disorders do not have a high level of traumatic memories.