Your classmate confides in you that she thinks she may have an ...

[APUS57]

Your classmate confides in you that she thinks she may have an eating disorder but does not want to share the idea for fear of being dismissed from the nursing program. If it most helpful if you:
 
  1. Support her efforts to hide these fears
  2. Tell your course instructor what your classmate said
  3. Say nothing and avoid the classmate because she has too many problems
  4. Urge your classmate to talk with a health care professional or her course instructor

Question 2

A client who demonstrated bizarre behaviors and mannerisms began walking in a bent-over posi-tion with his right foot toeing in.
 
  The nurse noted that he frowned and grimaced more than usual and stated she suspected that the client might be experiencing appendiceal pain. She called the medical doctor, who confirmed the diagnosis. The outcome was positive because the nurse used:
  1. Rationalization
  2. Intellectualization
  3. Compartmentalizatio n of knowledge
  4. Synthesis of knowledge and skills

[recede]

Answer to Question 1

ANS: 4
The student nurse needs to get help with her problem. She should be supported to seek profes-sional assistance. Option 1 will not get her help. Going behind her back will destroy trust, so op-tion 2 is incorrect. Avoiding the classmate will not assist her, so option 3 is incorrect.

Answer to Question 2

ANS: 4
The psychiatric nurse must synthesize all principles and skills learned at early levels of nursing education with skills that are specific for psychiatric nursing. The good psychiatric nurse is also a good medical-surgical nurse. Options 1 and 2 are defense mechanisms. Option 3, compartmen-talization of knowledge, is the opposite of what the nurse demonstrated.