Answer to Question 1
2
Rationale: Distancing is a normal self-protective mechanism to avoid the pain of losing someone the nurse cares for. Because it is often a subconscious action, talking with the nurse and helping him recognize what is happening often is all that is needed to correct the situation. It also provides the nurse with someone to talk to about his feelings.
Answer to Question 2
1,2,3
Rationale: A trusting relationship promotes expression of the client's thoughts and feelings, and enhances effectiveness of planned pain therapies.