Author Question: Which intervention strategy would the community psychiatric nurse include when planning care for a ... (Read 64 times)

jho37 · **on:** Jul 19, 2018

Which intervention strategy would the community psychiatric nurse include when planning care for
a mentally ill client being cared for in the community?

a. Enforce boundaries by way of seclusion.
b. Develop a long-term relationship.
c. Administer prescribed medication three times daily.
d. Provide three nutritious meals with snacks between meals.

Question 2

During the first interview with a woman who has just lost her son in a car accident, the nurse feels so
sorry for the woman that she reaches out and touches her. The nurse's response

a. is empathetic and will encourage the woman to continue to express her feelings.
b. will be perceived by the client as intrusive and overstepping boundaries.
c. is inappropriate because a no touch rule should be applied to all psychiatric
clients.
d. may be premature as the cultural and individual interpretation of touch is
unknown.

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

Answer to Question 1

ANS: B
A long-term relationship is necessary to care for clients in the community because the time span of
care is lengthy. Because hospitalizations are currently so brief, establishing a short-term relationship
is all that can be expected. Options A, C, and D are interventions that would occur in the hospital
rather than in the community.

Answer to Question 2

ANS: D
Touch has various cultural and individual interpretations. Nurses should refrain from using touch
until an assessment can be made regarding the way in which the client will perceive touch. The other
options present prematurely drawn conclusions.