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A new psychiatric nurse is providing care to a parent diagnosed with bipolar disorder. This nurse angrily recalls embarrassing events concerning the parent's behavior in the community. Select the best ways for this nurse to cope with these feelings. (Select all that apply.)
- A. Seeking ways to use the understanding gained from childhood to help patients cope with their own illnesses
- B. Recognizing that these feelings are unhealthy and try to suppress them when working with patients
- C. Recognizing that psychiatric nursing is not an appropriate career choice and explore other nursing specialties er??s
- D. Beginning new patient relationships by saying, 'My own parent had mental illness, so I accept it without stigma'
- E. Recognizing that the feelings may add sensitivity to the nurse's practice, but supervision is important
Correct Answer: A,E
Rationale: Using personal experiences constructively and seeking supervision help manage feelings and enhance practice.
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A patient says, 'I've done a lot of cheating and manipulating in my relationships.' What nonjudgmental response by the nurse is most appropriate?
- A. How do you feel about that?'
- B. It's good that you realize this.'
- C. That's not a good way to behave.'
- D. Have you outgrown that type of behavior?'
Correct Answer: A
Rationale: A nonjudgmental response encourages reflection on feelings without implying judgment.
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?
- A. The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.'
- B. The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented.'
- C. The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared.'
- D. The focus-Is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other.'
Correct Answer: A
Rationale: The therapeutic relationship focuses on the patient's needs and solutions, distinguishing it from social relationships.
As a nurse escorts a patient being discharged after treatment for major depressive disorder, the patient gives the nurse a gold necklace with a heart pendant and says, 'Thank you for helping mend my broken heart.' Which is the nurse's best response?
- A. Accepting gifts violates the policies and procedures of the facility.'
- B. I'm glad you feel so much better now. Thank you for the beautiful necklace.'
- C. I'm glad I could help you, but I can't accept the gift. My reward is seeing your renewed sense of hope.'
- D. Helping people is what nursing is all about. It's rewarding to me when patients recognize how hard we work.'
Correct Answer: C
Rationale: Accepting gifts blurs therapeutic boundaries. Acknowledging the gesture while declining maintains professionalism.
A patient says, 'I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?' What is the nurse's best response?
- A. Why are you asking me when you're able to speak for yourself?'
- B. I will be glad to address it when I see your doctor later today.'
- C. That's a good topic for you to take up with your doctor.'
- D. Do you think you can't speak to a doctor?'
Correct Answer: C
Rationale: Encouraging the patient to advocate for themselves promotes independence and optimal functioning.
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
- A. You must have been very upset when you tried to hurt yourself.'
- B. It makes me sad to see you going through such a difficult experience.'
- C. If you tell me what is troubling you, I can help you solve your problems.'
- D. Suicide is a drastic solution to a problem that may not be such a serious matter.'
Correct Answer: A
Rationale: Empathy permits the nurse to see an event from the patient's perspective, understand the patient's feelings, and communicate this to the patient. The incorrect responses are nurse-centered, belittling, or sympathetic.