A Latino American female client refuses to participate in an ...

[SO00]

A Latino American female client refuses to participate in an assertiveness training group in the inpatient psychiatric unit. How should a nurse interpret this client's reaction in terms of culture?
 
  A) A lack of future orientation causes the client to not see the value of these techniques.
  B) High levels of emotionality and aggressiveness are common in this culture, making it difficult for the client to master these skills.
  C) Assertiveness techniques may not be in line with her definition of the female role.
  D) Religious prohibitions on psychiatric treatment cause the client to refuse group therapy.

Question 2

The frustration of caring for a patient who displays maladaptive social responses such as manipulation, impulsivity, and self-mutilation can be most effectively managed when staff members:
 
  a. focus on patient strengths.
  b. are watchful about patient limits.
  c. rely on the milieu to prompt responsible behavior.
  d. are experienced enough to ignore feelings of frustration.

[tuate]

Answer to Question 1

C

Answer to Question 2

A
Behavioral change is slow and difficult, especially for one who sees no advantage to change. It is not unrealistic for a nurse to become frustrated with a lack of progress. Focusing on strengths changes the nurse's perspective from negative to positive. Focusing on patient strengths also is important lest patients receive constant negative messages from staff members. Vigilant observation is expected but will not likely minimize staff frustration; ignoring frustration is not a positive outcome of clinical experience or an appropriate staff coping mechanism.

[SO00]

Excellent

[kusterl]

TYSM