Author Question: A nurse caring for an attractive patient of similar age and background begins fantasizing about ... (Read 62 times)

azncindy619 · **on:** Jul 19, 2018

A nurse caring for an attractive patient of similar age and background begins fantasizing about having a social and sexual relationship with the patient. The most effective means of dealing with these feelings is to:

a. make a personal promise to not act on the feelings.
b. limit contact with the patient to include only care.
c. ask to change patient assignments immediately.
d. seek advice from an experienced peer.

Question 2

While interviewing a patient, a nurse notes that the patient uses invented words and that the patient's thoughts do not seem to flow logically. These observations are most consistent with a diagnosis of:

a. depression.
b. panic disorder.
c. schizophrenia.
d. defensive coping.

billybob123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Sexual attraction and fantasy are part of the human experience. Nurses are not immune. Nurses, however, must recognize and deal appropriately with the feelings or risk interference with the quality of care. The feelings should not be denied, nor should they be tested or shared with the patient. It is the nurse's responsibility to preserve professional boundaries. Consultation is a constructive way of dealing with the situation.

Answer to Question 2

C
These symptoms indicate the presence of a thought disorder seen more often in patients with schizophrenia than in those with panic or depression. Defensive coping is not a diagnosis.