As a patient diagnosed with a mental illness is being discharged ...

[ARLKQ]

As a patient diagnosed with a mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?
 
  a. The invitation facilitates dependency on the nurse.
  b. The nurse's action blurs the boundaries of the therapeutic relationship.
  c. The invitation is therapeutic for the patient's diversional activity deficit.
  d. The nurse's action assists the patient's integration into community living.

Question 2

As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse's best action?
 
  a. Recognize the effectiveness of the relationship and patient's thoughtfulness. Accept the card.
  b. Inform the patient that accepting gifts violates policies of the facility. Decline the card.
  c. Acknowledge the patient's transition through the termination phase but decline the card.
  d. Accept the card and invite the patient to return to participate in other arts and crafts groups.

[jojobee318]

Answer to Question 1

ANS: B
The invitation creates a social relationship rather than a therapeutic relationship.

Answer to Question 2

ANS: A
The nurse must consider the meaning, timing, and value of the gift. In this instance, the nurse should accept the patient's expression of gratitude. See relationship to audience response question.