The nurse tells a peer, I feel very uncomfortable with a patient ...

[SGallaher96]

The nurse tells a peer, I feel very uncomfortable with a patient and find myself wanting to avoid both informal contacts and scheduled sessions. Without supervision, which outcome is likely?
 
  a. Growing interest and mutuality
  b. Mutual withdrawal
  c. Positive regard
  d. Trust

Question 2

A community mental health nurse has worked with a patient for 3 years but is moving and must terminate the relationship. When a new nurse begins work with this patient, what is the starting point for the relationship?
 
  a. Begin at the orientation phase
  b. Continue the working relationship
  c. Start with informal social interactions
  d. Return to the emotional catharsis phase

[krakiolit]

Answer to Question 1

B
A nurse's negative preconceived ideas about a patient and negative feelings toward the patient usually result in frustration and mutual withdrawal. Supervision would cause the nurse to explore the origins of the feelings and make changes as necessary. The other options suggest positive outcomes, which rarely occur in the face of negative feelings on the part of the nurse.

Answer to Question 2

A
After termination of a long-term relationship, the patient and new nurse usually have to begin at ground zero, the orientation phase, to build a new relationship. If termination is successfully completed, the orientation phase sometimes progresses quickly to the working phase. Other times, even after successful termination, the orientation phase may be prolonged.

[SGallaher96]

Excellent

[adammoses97]

TYSM