A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. which is the best explanation?
“The focus is on solving the patient's problems. Problems are discussed by the nurse and patient, and solutions are given by the nurse."
“The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared."
“The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other."
“The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient."
The Correct Answer is D
A. "The focus is on solving the patient's problems. Problems are discussed by the nurse and patient, and solutions are given by the nurse." This explanation highlights the nurse's role in problem-solving and providing solutions, which is characteristic of a therapeutic nurse-patient relationship where the nurse takes an active role in addressing the patient's needs and challenges.
B. "The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared." This explanation describes more of a social relationship where mutual needs are met, and feelings are shared openly, rather than focusing on problem-solving and addressing the patient's specific issues.
C. "The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other." While this explanation emphasizes a partnership and mutual concern for growth and satisfaction, it does not specifically highlight the nurse's role in problem-solving and providing solutions for the patient's problems.
D. "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." This explanation captures the essence of a therapeutic nurse-patient relationship, where the focus is on the patient's needs, and while problems are discussed collaboratively, the patient takes an active role in implementing solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. To deinstitutionalize state hospitals: The goal of the 1963 Community Mental Health Construction Act, also known as the Community Mental Health Centers Act, was to shift the focus of mental health care from large, centralized state hospitals to community-based care settings. This act aimed to deinstitutionalize state hospitals by providing funding for the establishment and expansion of community mental health centers, where individuals with mental illness could receive treatment and support services in a less restrictive environment.
B. To provide funds to build hospitals with psychiatric units: While the act did involve funding, its primary goal was not to build hospitals with psychiatric units. Instead, it sought to promote community-based care and reduce reliance on large psychiatric hospitals.
C. To ensure clients' rights for the mentally ill: While protecting clients' rights and advocating for humane treatment were important aspects of mental health reform, the specific goal of the 1963 Community Mental Health Construction Act was more focused on restructuring mental health care delivery through community-based services.
D. To treat people with mental illness in a humane fashion: While this goal aligns with broader principles of mental health reform and human rights, the specific objective of the 1963 Community Mental Health Construction Act was to transition away from institutionalized care towards community-based mental health services.
Correct Answer is A
Explanation
A. Living environment: The ability of a client to remain in the community after discharge from an inpatient mental health facility is closely related to their living environment. This includes factors such as the safety, stability, support network, and resources available in their living environment, all of which can significantly impact their ability to cope with and manage their mental health condition outside of a structured care setting.
B. Taking meals at the food bank: While access to food and nutrition is important for overall well-being, specifically taking meals at the food bank is not directly related to the client's ability to remain in the community after discharge from a mental health facility.
C. Participation in social events: Social interaction and participation in social events can be beneficial for mental health and community integration. However, it is not the sole determinant of a client's ability to remain in the community after discharge from an inpatient mental health facility.
D. Supporting neighborhood watch programs: Involvement in neighborhood watch programs may contribute to community safety and cohesion but is not directly related to an individual client's ability to remain in the community after discharge from a mental health facility.
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