In response to the nurse's statement, Tell me about your family, ...

[awywial]

In response to the nurse's statement, Tell me about your family, the patient became si-lent and displayed nonverbally that he is uncomfortable. Which statement by the nurse reflects sensitivity to the patient?
 
  a. I'm so sorry. I didn't realize your family was a problem for you.
  b. Learning to express negative feelings will assist you in getting well.
  c. Perhaps you can talk about your feelings to the physician next time you meet.
  d. That seems to be a difficult subject for you. We can discuss when you are ready.

Question 2

When sharing her feelings about separating from a therapy group, the patient stated, I feel a bit sad and empty that I won't be seeing you folks again. What is the most accu-rate evaluation of the patient's statement?
 
  a. It indicates regression and her lack of readiness to terminate.
  b. Unconsciously, she is hoping she will be permitted to continue the group.
  c. She is demonstrating normal feelings associated with termination of therapy.
  d. She needs further evaluation by her therapist to determine readiness to terminate.

[lauravaras]

Answer to Question 1

ANS: D
This response acknowledges the situation, is respectful, and allows the patient to choose when to refocus the therapeutic interaction. Referring to the family as a problem is not sensi-tively worded. Offering false reassurance implies that feelings are negative. Suggesting postponing the discussion represents avoidance of dealing with the patient's feelings.

Answer to Question 2

ANS: C
The patient is expressing feelings of sadness over the loss of the therapeutic group relation-ships that have been helpful to her. Such feelings are considered normal, just as they are con-sidered normal when the nurse-patient relationship terminates. The feelings expressed are normal, not regressive. No hidden meaning is present; the patient openly expressed genuine feelings. Further evaluation is not needed.

[awywial]

Excellent

[Joy Chen]

TYSM