A patient tells the nurse, I really like you. You're the only ...

[jjjetplane]

A patient tells the nurse, I really like you. You're the only true friend I have. The pa-tient's remarks call for the nurse to revisit the issue of:
 
  a. Trust
  b. Safety
  c. Boundaries
  d. Countertransference

Question 2

A patient asks the nurse manager to help resolve a situation between her and another pa-tient. Which action would best support the patient's feelings of safety when experiment-ing with new ways of being?
 
  a. Encouraging the patient to report the incident to the other patient's physician
  b. Intervening on the patient's behalf and sorting out the incident with the other pa-tient
  c. Suggesting that the patient ignore the situation since the other patient was proba-bly not aware of her behavior
  d. Offering to be present and help the patient discusses her feelings about the inci-dent with the other patient

[scikid]

Answer to Question 1

ANS: C
The patient's remarks call for the nurse to remind the patient of the parameters of the nurse-patient relationship. The remark would also give the nurse the opening to go on to dis-cuss the matter of friendship. The patient's remarks do not suggest the need to deal with trust, safety, or countertransference .

Answer to Question 2

ANS: D
Offering to be with the patient affords her a safe nonthreatening opportunity to assume re-sponsibility for meeting her own needs assertively by encouraging skills that affect positive communication. Intervening removes the responsibility from the patient. Ignoring supports passive behavior. There is no need to bring in another person. The patient is capable of ad-dressing the problem herself.