Author Question: The psychiatric-mental health nurse is using self-reflection in the therapeutic nurse-patient ... (Read 143 times)

iveyjurea · **on:** Jul 19, 2018

The psychiatric-mental health nurse is using self-reflection in the therapeutic nurse-patient relationship. Which best describes the rationale? Select all that apply.

1. Self-reflection helps the nurse develop creativity in nursing practice.
2. Self-reflection helps the nurse develop autonomy in her nursing practice.
3. Self-reflection provides an opportunity for the nurse to examine his or her own actions.
4. Self-reflection helps the nurse make sense of his or her actions within the context of the nurse-patient relationship.
5. Self-reflection provides an opportunity for the detailed assessment of the patient and his or her feelings toward the nurse.

Question 2

Which statement best demonstrates that the novice nurse has engaged in the process of self-reflection while preparing to fulfill the professional role of a nurse working on an inpatient psychiatric unit?

1. I will ask for support from colleagues when I need it.
2. I took a course in self-defense so I can take care of myself.
3. I know there is a fine line between the patients and the staff.
4. I can maintain proper distance by engaging in therapeutic interventions.

Anton · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1, 3, 4
Explanation: The practice of self-reflection provides an opportunity for nurses to examine their own actions and motivations and feelings. It helps nurses make sense of their actions within the context of their relationships with patients and develop creativity in nursing practice. Self-reflection does not provide an opportunity for the nurse to assess the patient; rather, the nurse is assessing his or her own thoughts, feelings, and perceptions during the process of self-reflection. Autonomy is the right to self-determination, not self-reflection.

Answer to Question 2

Answer: 1
Explanation: Asking for support indicates that the nurse recognizes the challenges of working on an inpatient psychiatric unit, has engaged in self-reflection, and realizes the value of sharing perceptions, feelings, and concerns with professional colleagues in order to fulfill professional responsibilities. Believing that there is a fine line between the patients and staff reveals the nurse has difficulty separating his or her own identity from the patient's. Engaging in a course in self-defense or therapeutic interventions does not support the idea of self-reflection.