Author Question: Which issues should a nurse address during the first interview with a patient with a psychiatric ... (Read 20 times)

oliviahorn72 · **on:** Jul 19, 2018

Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?

a. Trust, congruence, attitudes, and boundaries
b. Goals, resistance, unconscious motivations, and diversion
c. Relationship parameters, the contract, confidentiality, and termination
d. Transference, countertransference, intimacy, and developing resources

Question 2

A patient says, I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges? What is the nurse's best response?

a. Why are you asking me when you're able to speak for yourself?
b. I will be glad to address it when I see your doctor later today.
c. That's a good topic for you to discuss with your doctor.
d. Do you think you can't speak to a doctor?

bpool94 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Relationship parameters, the contract, confidentiality, and termination are issues that should be considered during the orientation phase of the relationship. The remaining options are issues that are dealt with later.

Answer to Question 2

ANS: C
Nurses should encourage patients to work at their optimal level of functioning. A nurse does not act for the patient unless it is necessary. Acting for a patient increases feelings of helplessness and dependency.