Author Question: The nurse is caring for a patient who has painful memories of a previous sexual assault. How will ... (Read 67 times)

amal

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The nurse is caring for a patient who has painful memories of a previous sexual assault. How will the nurse best display the therapeutic use of self when caring for this patient?
 
  1. Providing the patient personal information.
  2. Engaging in a caring conversation with the patient.
  3. Providing the patient information on therapy choices.
  4. Encouraging the patient to confront his or her feelings.

Question 2

Which statement best reflects the nurse's therapeutic use of self with a patient who is refusing to take his or her ordered medications?
 
  1. Can you tell me what concerns you have about medications?
  2. If you refuse your medications, you will just get sick again.
  3. Refusing your medications is your right, but it won't get you out of here.
  4. If you won't take your medication, I can't help you



ong527

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Answer to Question 1

Answer: 2
Explanation: The best way that the nurse will display the therapeutic use of self when caring for a patient with painful memories is to engage in a caring conversation with the patient. This allows the nurse to provide the patient with a sense of empathy, or feeling for others. This may help the patient connect and provide time and space for the patient to tell his or her story. Providing the patient with personal information or information on therapy choices does not exemplify the therapeutic use of self when caring for this patient. Encouraging the patient to confront his or her feelings does not recognize the need to respect the patient's role in directing the healing process.

Answer to Question 2

Answer: 1
Explanation: Nurses who engage in self-reflection and self-awareness are able to maintain a therapeutic focus on the patient. Asking the patient to clarify concerns about medications shows that the nurse recognizes the patient's goals may be different from the nurse's. Telling the patient that refusing medications will result in getting ill or prevent discharge conveys that the nurse is threatened by the patient's assertiveness and has lost focus on the patient. Suggesting that the nurse cannot help the patient unless the patient takes the medication indicates the nurse is focused on the nurse more than the patient and may also constitute an implied threat that the nurse will refuse care to the patient.



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ong527

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