Which activity would happen first in the nurse-patient relationship?
formulating a nursing diagnosis
planning for continued care
promoting patient's insight
examining personal biases
The Correct Answer is D
Choice A Reason:
Formulating a nursing diagnosis is incorrect. This occurs after a comprehensive assessment of the patient's needs, and it helps guide the planning and implementation of nursing care.
Choice B Reason:
Planning for continued care is incorrect. Once the nursing diagnosis is formulated, the nurse can develop a plan of care, including interventions and goals for the patient.
Choice C Reason:
Promoting patient's insight is incorrect. This is a part of the ongoing therapeutic process and involves helping the patient gain self-awareness and understanding of their thoughts, feelings, and behaviors. It typically occurs after the initial assessment and planning.
Choice D Reason:
Examining personal biases is correct. In the nurse-patient relationship, examining personal biases is a foundational and essential step that should happen first. It involves the nurse being self-aware and acknowledging any personal biases or prejudices that might affect the therapeutic relationship. Recognizing and addressing personal biases is crucial for providing unbiased and patient-centered care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A Reason:
Monitoring nutrition and self-care is correct. Ensuring patients are maintaining proper nutrition and engaging in self-care activities is an essential part of psychiatric nursing care.
Choice B Reason:
Providing round-the-clock supervision is correct. In an inpatient psychiatric unit, especially for patients at risk of harm to themselves or others, providing continuous supervision is often necessary to ensure safety.
Choice C Reason:
Offering structured socialization activities is correct. Structured socialization activities can contribute to patients' well-being and help create a therapeutic and supportive environment.
Choice D Reason:
Establishing a long-term therapeutic relationship is incorrect. While building therapeutic relationships is important, establishing a "long-term" therapeutic relationship might be more applicable in outpatient or community settings. In an inpatient unit, the focus may be on immediate care needs and stabilization.
Choice E Reason:
Assisting patients in self-assessment is correct. Helping patients in self-assessment is a crucial aspect of psychiatric nursing, as it fosters self-awareness and empowers individuals to actively participate in their treatment.
Correct Answer is D
Explanation
Choice A Reason:
"I’m so sad and I feel I haven't accomplished much in my life." This statement may relate more to feelings of despair and a sense of unfulfilled purpose, which could be associated with Erikson's stage of Integrity vs. Despair (late adulthood).
Choice B Reason:
"I’m so anxious, can't seem to trust anyone. “This statement may indicate difficulties with trust and may be more aligned with Erikson's stage of Trust vs. Mistrust (infancy).
Choice C Reason:
"I'm so tired after work that I just want to watch TV and be alone. “This statement may reflect fatigue or a desire for solitude and may not directly represent the identity development struggles associated with Erikson's Identity vs. Role Confusion stage.
Choice D Reason:
"I'm so confused about what my goals are.” Erikson's phase of Identity vs. Role Confusion occurs during adolescence, and individuals in this stage are exploring and forming their own identity. The statement "I'm so confused about what my goals are" suggests a struggle with establishing a clear sense of identity and future direction, which is characteristic of the challenges faced during this developmental stage.
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