A talkative member of a support group for patients diagnosed with ...

[nmorano1]

A talkative member of a support group for patients diagnosed with bipolar disorder has monopolized the group discussion for 15 minutes. The nurse leading the group would best intervene by
 
  a. maintaining silence. It is important for group members to give feedback to each other.
  b. encouraging the patient to continue. Patients learn from each other in group sessions.
  c. saying, You must allow some of the other members of the group to talk. You cannot monopolize the conversation.
  d. addressing the patient by name and saying, I'm glad you shared your thoughts with us. Let's hear what others think.

Question 2

When a Mexican-American woman and nurse interact, the patient often holds the nurse's hand or links arms with the nurse. The nurse is uncomfortable with this behavior. Which analysis is most accurate?
 
  a. The patient is using touch to make the nurse uncomfortable and manipulate the relationship based on that factor.
  b. An energy field disturbance has occurred. Touch rebalances the energy between the patient and nurse.
  c. The patient is afraid of being alone. When touching the nurse, the patient is reassured and comforted.
  d. The patient is accustomed to and comfortable with touch, as are members of many Hispanic cultures.

[phuda]

Answer to Question 1

D
This intervention provides support for the dominant patient but opens the floor for contributions from others. Doing nothing or encouraging the patient to continue would be ineffective strategies, because they fail to recognize the needs of others in the group.

Answer to Question 2

D
The most likely answer is that the patient's behavior is culturally influenced. Hispanic women frequently touch women they consider to be their friends. Although the other options are possible, they are much less likely.

[nmorano1]

Thanks for the timely response, appreciate it

[kjohnson]

Gracias!