Which intervention will be most valuable for the nurse in ...

[viki]

Which intervention will be most valuable for the nurse in developing a therapeutic nurse-client relationship?
 
  1. Administering the prescribed medications accurately
  2. Interacting with members of the health care team
  3. Being aware of therapeutic modalities
  4. Possessing self-awareness and understanding

Question 2

An elderly client who lives with her daughter and son-in-law and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things.
 
  The daughter is a midlevel business executive who is under considerable stress at work. The chil-dren have many school activities to which they must be transported. The husband is often out of town on business trips. The daughter states, I have so much to do that I become frustrated when my mother can't move fast enough or causes me extra work. The nurse caring for the mother could appropriately suggest:
  1. Moving the mother to an adult ambulatory care facility
  2. Employing an aide to provide care and stimulation for the mother
  3. Enrolling in a therapeutic group that addresses stress management
  4. Reading the elder law of the state to learn the penalties for elder abuse

[ju]

Answer to Question 1

ANS: 4
Self-awareness is fundamental to development of effective use of self in the therapeutic rela-tionship. Without self-awareness, the nurse cannot separate his or her own subjective beliefs from facts. Each of the other options is relevant to providing nursing care but is not basic to develop-ment of a relationship.

Answer to Question 2

ANS: 3
The daughter has many stressors and has few external supports. Enrolling in a stress management group would provide support as well as teach more new adaptive coping strategies. Options 1 and 2 are probably not necessary. Option 4 is threatening.

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Gracias!

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