Author Question: A patient admitted in a semistuporous catatonic state has neither left the apartment nor attended to ... (Read 36 times)

RYAN BANYAN · **on:** Jul 19, 2018

A patient admitted in a semistuporous catatonic state has neither left the apartment nor attended to personal hygiene for several weeks. The patient's last 48 hours have been spent lying in bed, mute and motionless.

The priority nursing diagnosis is: a. self-care deficit.
b. situational low self-esteem.
c. disturbed thought processes.
d. impaired verbal communication.

Question 2

Which strategy can the nursing student use to foster authenticity in therapeutic relationships with patients?

a. Reading and discussing textbook assignments with a study group
b. Modeling behaviors with patients on the behaviors of a clinically competent staff nurse
c. Attending patient-centered clinical conferences on the assigned psychiatric inpatient unit
d. Analyzing feelings associated with psychiatric clinical experience with the help of instructors and peers

kristenb95 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
The patient evidences self-care deficit in the areas of bathing/hygiene, dressing/grooming, feeding, and toileting. These deficits pose the greatest risk to the patient and are therefore the priority.

Answer to Question 2

D
Nursing students have many new experiences that provide opportunities for self-learning. Nurses should focus on and discuss the feelings related to these experiences. Instructors and peers can help students by facilitating self-awareness during these discussions; self-awareness contributes to authenticity.