The novice nurse is learning about the various types of ...

[jparksx]

The novice nurse is learning about the various types of relationships and how these affect the role of the nurse when providing care to patients with mental illness. What tool do therapeutic relationships use that is not used in social relationships?
 
  1. Shared interest
  2. Shared power
  3. The process of communication
  4. The process of interaction

Question 2

A patient experiencing psychosis tells the nurse, I am in charge. Who are you and why are you here? What is the most therapeutic response by the nurse?
 
  1. You know who I am.
  2. You don't know who I am?
  3. You are not in charge; you are a patient in the hospital.
  4. I am your nurse and I will be here to help you until dinner.

[momolu]

Answer to Question 1

Answer: 4
Explanation: Therapeutic relationships differ from social relationships; in part, this is because the therapeutic relationship uses the process of interaction as a tool. Communication occurs with all relationships and is not unique to therapeutic ones. Shared power and interest occur in social, not therapeutic, relationships.

Answer to Question 2

Answer: 4
Explanation: Responding with I am your nurse is an example of giving information; the nurse responds to the patient's request without getting into a confrontation and conveys respect. Asking if the patient knows who the nurse is or stating that the patient knows the nurse are not therapeutic responses and may be perceived as challenging to the patient. Stating that the patient is not in charge and reminding the patient of his or her inpatient status provide the patient with information and presents reality but do not provide the patient with a response to the question asked.