Answer to Question 1
4
Rationale: Asking oneself whether the goal of the self-disclosure is to meet the client's need or the nurse's need demonstrates that the nurse realizes it is important to determine the purpose and goal for the self-disclosure before sharing personal information with the client. Although the wisdom of self-disclosure has been the subject of much debate, there are studies that support the judicious use of self-disclosure. Before using self-disclosure with a client, the nurse must consider not only if it will take the focus away from the client, but also the context of the therapeutic relationship and give attention to the timing, appropriateness, and degree. Seeking supervision when using self-disclosure is appropriate for any nurse; however, one does not need to have undergone personal psychotherapy to understand the judicious use of self-disclosure.
Answer to Question 2
1
Rationale: The nurse understands the importance of spiritual support in the recovery process. The client may be struggling with questions or experiencing feelings of rage and grief. This is an important component of the process that will help the client move to a phase of self-forgiveness and healing. The client may wish to attend Mass for the other reasons given, but the nurse knows that these are not as significant to the recovery process.