The nurse is effectively facilitating the nurse-patient ...

[Themember4]

The nurse is effectively facilitating the nurse-patient relationship when:
 
  a. Sharing with an angry patient who is verbally abusive that, Although I can ac-cept that you are angry, I cannot and will not accept your verbal abuse.
  b. Focusing on the patient's life experience without relating to the similarities of one's own experiences
  c. Objectively providing constructive criticism that is directed to helping the patient identify inappropriate behaviors
  d. Refraining from abandoning the patient regardless of the frustration the interac-tion causes

Question 2

Which response by the nurse manager to a novice mental health nurse is most effective when the nurse asks, How do I justify not keeping a patient's secret?
 
  a. Never promise the patient that you will keep a secret for them.
  b. Always stop the patient from telling you something as a secret.
  c. Let the patient know that you will not keep a secret that could ultimately cause harm or affect their treatment.
  d. Keep reminding yourself that you are not the patient's friend but rather a profes-sional mental health provider.

[nixon_s]

Answer to Question 1

ANS: A
Accepting the patient's feelings is essential; however, it is not necessary to accept all of the patient's behaviors. Assist the patient by setting limits on patient behaviors that are self-defeating or that threaten the patient or others in any way. Setting these limits allows for mutual respect in the therapeutic alliance. The remaining options enhance the patient's clinical experience rather than the nurse-patient relationship.

Answer to Question 2

ANS: C
Nurses and other healthcare professionals do not keep secrets or make promises to patients when the secret may interfere with the patient's treatment or put them or others at risk for harm. The remaining options offer appropriate nursing actions but do not effectively answer the nurse's question.