Author Question: Which patient behavior would require the most immediate limit-setting? a. The patient makes ... (Read 53 times)

SO00 · **on:** Jul 19, 2018

Which patient behavior would require the most immediate limit-setting?

a. The patient makes self-deprecating remarks.
b. At a goal-setting meeting, the patient interrupts others to express delusions.
c. A patient shouts at a roommate, You are perverted You watched me undress.
d. During dinner, a patient manipulates an older adult patient to obtain a second dessert.

Question 2

A patient shouts at a nurse who just entered the room, You're an incompetent fool. Leave me alone. The nurse's response should be based on which rationale?

a. The anger was created by a situation or significant person, not the nurse.
b. The reaction probably results from transference and countertransference .
c. The patient is probably reacting to fear of loss of emotional control.
d. The patient has a right to openly express negative feelings.

alexisweber49 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Behaviors that require the most immediate limit-setting are verbal and physical aggression, self-destructive behavior, fire setting, alcohol or drug use, manipulation, inappropriate sexual behaviors, and attempts to leave the hospital without consent. In this case the verbal aggression toward the roommate requires immediate intervention to prevent further escalation.

Answer to Question 2

A
Anger toward the nurse is often displaced anger that has arisen from some situation or significant person in the patient's life. Nurses feel the brunt of the anger because they are handy and might be considered by the patient to be a safe object for the displacement. Knowing that the nurse is not the true object of the anger allows the nurse to plan a therapeutic strategy for helping the individual manage the emotion. None of the other options provides an accurate basis for planning intervention.