What would be the preferable remark for a student nurse to use ...

[jwb375]

What would be the preferable remark for a student nurse to use after introductions have been made
  to begin the first nurse-client interview?
 
  a. So tell me, do you like having students here?
  b. I'd like to have you tell me your problems..
  c. Perhaps you would like to begin by telling me about some of the stresses you've
  experienced recently..
  d. I read your chart and understand that you would like to focus on new ways to
  improve your self-esteem..

Question 2

A community mental health nurse has been working for 6 months to establish a trusting relationship
  with a delusional and suspicious client. The client recently lost his job, stopped taking medication
  because he had no money, and then decompensated.
 
  The client states only a traitor would make me
  go to the hospital.. The nurse must decide whether to arrange for hospitalization or try to provide
  medication so he can remain at home. The solution most in keeping with current practices in health
  care calls for
  a. hospitalization for up to a week.
  b. negotiating a way to provide medication.
  c. hospitalization until he is asymptomatic.
  d. arranging for a bed in a homeless shelter.

[kalskdjl1212]

Answer to Question 1

ANS: C
The nurse-client interview should be client centered and client paced. Option C is the least directive
approach and turns the interview over to the client. Option A is student focused. Option B is a
demand for immediate information. Option D takes the pacing of the interview away from the client.

Answer to Question 2

ANS: B
Although no absolutely right answer exists, hospitalization will damage the nurse-client
relationship even if it provides an opportunity for rapid stabilization. If medication can be obtained
and restarted, the client can possibly be stabilized in the home setting, even if it takes a little longer.
Option D: A homeless shelter is inappropriate and unnecessary.

[jwb375]

Excellent

[billybob123]

TYSM