Author Question: The nurse educator is discussing manipulation that can occur when working with adolescent clients. ... (Read 48 times)

washai · **on:** Jul 19, 2018

The nurse educator is discussing manipulation that can occur when working with adolescent clients. Which nurse is most at risk for being manipulated by an adolescent client? The nurse who:

1. Avoids power struggles.
2. Rewards appropriate behavior.
3. Consistently enforces the rules.
4. Maintains an all-accepting attitude.

Question 2

The nurse is about to begin working with a client diagnosed with a sexual disorder. During the preinteraction phase of the nursepatient relationship, it is important for the nurse to:

1. Discuss the nurse's beliefs with the client.
2. Agree with the client's sexual values.
3. Engage in values clarification.
4. Provide appropriate sexual health care.

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

Answer to Question 1

4
Rationale: In working with adolescents, there is always the risk of seduction of the nurse, that is, manipulation of the nurse by the client into relating in a nontherapeutic way. Factors contributing to the problem include: the intimate nature of the nurse's involvement with the adolescent client; the narcissism inherent in this age group; and the nurse's all-accepting attitude in working with the adolescent client. Measures to avoid being manipulated include consistently enforcing the rules, rewarding appropriate behavior, and avoiding power struggles.

Answer to Question 2

3
Rationale: As part of self-awareness, the nurse would engage in values clarification. During the preinteraction phase, the nurse would not provide sexual health care. It is inappropriate for the nurse to agree or disagree with the client's sexual values or to discuss the nurse's beliefs with the client.