Role Development Challenges Cautions for Nurse

Role Development Challenges Cautions for Nurse
Order 5993477
Role Development Challenges Cautions for Nurse
1. Order the five stages of the psychological recovery
model as described by Andresen and associates.
1. Rebuilding
2. Preparation
3. Awareness
4. Growth
5. Moratorium
2. Which of the following are included in the goals of
“recovery model” interventions? Select all that apply.
1. Changing attitudes of the consumer.
2. Developing a new meaning and purpose in life.
3. Empowerment of the consumer.
4. Creation of a list of tools that have worked
in the past.
5. Listing triggers that might cause distress or
discomfort.
3. On an inpatient psychiatric unit, a client diagnosed
with major depressive disorder states, “I’m so glad
the Zoloft that my doctor just prescribed will quickly
help me with my mood.” Which nursing response
reflects the role of teacher?
1. “I’ll set up a time with your doctor to clarify
information about this medication.”
2. “How do you feel about taking this new
medication?”
3. “It’s great that you have learned this information
about your new medication.”
4. “This medication may take up to 2 to 4 weeks to be
effective.”
4. occurs when the client unconsciously displaces feelings formed toward a person
from his or her past to the nurse therapist.
15. Which is a realistic expectation of clients participating in milieu therapy?
1. To control or set limits on threats and aggressive acts.
2. To learn adaptive coping, interaction, and
relationship skills.
3. That all maladaptive behaviors are eliminated and
adaptive behaviors substituted.
4. That trust and rapport are quickly established in
the context of the nurse-client relationship.
16. A pediatric RN has recently assumed the role of staff
nurse on an inpatient psychiatric unit. Which of the
following feelings might the nurse expect to experience? Select all that apply.
1. The informal nature of the setting allows increased
creativity for the development of nursing
interventions.
2. The newness of the experience can generate
anxious behaviors exhibited by the nurse.
3. Preconceived thoughts and feelings about psychiatric clients can cause fear of client violence.
4. A nurse’s emotionally painful past experiences can
contribute to the nurse’s inability to empathize
with clients.
5. The nature of the locked psychiatric unit generates
a feeling of security in the novice nurse.
17. A nurse on an inpatient psychiatric unit encourages
a client to take a shower and dress appropriately.
Which role is the nurse assuming?
1. Milieu manager
2. Technical expert
3. Socializing agent
4. Role-modeling agent
18. On an inpatient psychiatric unit, which nursing
responsibility should be prioritized?
1. Ongoing assessment of client, family, and situation.
2. Client problem identification.
3. Collaboration with client to set realistic outcomes.
4. Maintaining client safety and security in the therapeutic milieu.
19. The basic assumptions of a therapeutic community
guide a nurse’s actions when functioning in the role
of milieu manager. Which nursing action is correctly
matched with the appropriate assumption?
1. The nurse encourages clients to take personal responsibility for personal behaviors. (Assumption:
Peer pressure is a useful and powerful tool.)
2. The nurse takes immediate action when maladaptive behavior is demonstrated. (Assumption: Restrictions and punishments are to be avoided.)
3. The nurse encourages client participation in environmental decision making. (Assumption: The
client owns his or her own environment.)
4. The nurse uses least restrictive measures to subdue
client anger. (Assumption: Every interaction is an
opportunity for therapeutic intervention.)
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