Author Question: A staff nurse tells a peer, I find it difficult to deal with patients who have personality ... (Read 132 times)

drink · **on:** Jul 19, 2018

A staff nurse tells a peer, I find it difficult to deal with patients who have personality disorders. They can control their behavior, whereas patients with depression truly need my services. Select the peer's most helpful response.

a. Even though it's bothering you, the patients seem to like you.
b. Our clinical nurse specialist is a good resource to help you explore those feelings.
c. Fortunately, managed care has reduced inpatient services for people with personality disorders.
d. Your comment tells me you have personal problems. Maybe psychiatric nursing is not the best practice arena for you.

Question 2

A patient diagnosed with social phobia begins propranolol (Inderal). The nurse should teach the patient to expect

a. that sympathetic nervous system symptoms of anxiety will be reduced.
b. to experience a sense of euphoria for 30 minutes after taking the drug.
c. to have amnesia for the social situations that are most intimidating.
d. to feel a little drowsy but have no orthostatic hypotension.

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

Answer to Question 1

B
Clinical supervision can help nurses examine attitudes, reactions, and conflicts with patients on the unit and arrive at new ways of approaching patient problems. This option is the only one that recognizes that the nurse is voicing a legitimate problem for which help should be available.

Answer to Question 2

A
Propranolol is a beta blocker that interrupts the physiologic responses of anxiety associated with social phobias, such as sweaty palms. Bradycardia may be associated with lightheadedness. The other options are not likely.