Author Question: A 37-year-old client tells a nurse that she has anxiety attacks that occur before bedtime. The ... (Read 45 times)

sammy · **on:** Jul 19, 2018

A 37-year-old client tells a nurse that she has anxiety attacks that occur before bedtime. The client has also been experiencing insomnia and nightmares. She has had past treatment for an eating disorder.

The client has never married and says she prefers to live alone. She tells the psychiatrist that her father, who had been living out of state, has recently moved close to where she lives. What should the nurse suspect?
A) Possible depressive disorder
B) Possible history of childhood incest
C) Possible histrionic personality
D) Possible history of childhood physical abuse

Question 2

A patient states, My nurse practitioner performs therapeutic touch (TT) on me and it relaxes me but my partner said it's just the power of suggestion.. Which response would be most therapeutic?

a. Recent studies have demonstrated that TT promotes healing and well-being, so it's reasonable to believe it relaxes you..
b. I agree with your partner. The power of suggestion is a very powerful tool, so TT may make you feel more relaxed..
c. TT cannot hurt you, so if you feel it helps relax you, I see no reason why you should not continue with the treatment..
d. Your partner may not be very knowledgeable about current therapeutic nursing interventions. If you find TT helpful, that is what is important..

pikon · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B

Answer to Question 2

A
The most therapeutic nursing communication is the one that facilitates the patient's expression of feeling and provides an evidence-based practice framework for decision making that is empowering. By presenting the most recent evidence on the topic, the nurse is making a nonjudgmental, nonbiased response that is both professional and therapeutic in its stance.