While discussing assessment of suicidal patients, a novice nurse ...

[Pea0909berry]

While discussing assessment of suicidal patients, a novice nurse mentions, I was taught to always base my care on concrete, evidence-based scientific reasoning and never to rely on intuition.
 
  Which response by the experienced nurse shows understanding of intuitive reasoning?
  a. That's wise, because intuition went out of favor with the scientific revolution.
  b. Critical thinking and intuition are at opposite poles. Keep relying on your exper-tise.
  c. It's possible that intuition about suicidality is generated by transfer of feelings from the patient to the nurse.
  d. It's been determined that intuition is nothing more that extrasensory perception, so some folks have it, and some don't.

Question 2

The nurse shows the ability to effectively state a nursing diagnosis reflective of the im-plications of depression on a patient's life processes when stating in the patient's plan of care that:
 
  a. Patient outcomes were partially attained. Implementation of present plan to con-tinue.
  b. Patient will initiate and support conversation with nurse therapist by (date 3 weeks in future).
  c. Oral medication for anxiety should be administered when depression is assessed to be at the moderate level.
  d. Impaired verbal communication r/t impoverished thoughts secondary to depres-sion as evidenced by monosyllabic responses.

[wshriver]

Answer to Question 1

ANS: C
A strong hunch or a gut feeling is an example of intuitive reasoning that is believed to come from the therapeutic relationship's sharing of feelings between nurse and patient. Most nurses agree that intuition is compatible with scientific reasoning, because both are likely linked to practice and experience. A nurse learns intuitive reasoning through clinical practice rather than from school or books.

Answer to Question 2

ANS: D
This statement contains the various components of a nursing diagnosis while expressing the existence of an altered life process. The remaining options reflect other steps, such as evalua-tion and intervention planning.