interviewing this patient, it is important for the nurse to keep in mind that:
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all noted injuries should be thoroughly and explicitly documented, abuse
survivors may conceal their injuries to reduce future assaults, the nurse's
demeanor should be one of concern and caring
Andrea is a patient anxiously waiting her turn to speak with staff. The nurse is very
busy, however, and asks if Andrea can wait a few minutes so she can finish her task.
The nurse is distracted and forgets her promise temporarily, and 45 minutes pass
before the nurse remembers and approaches Andrea. On seeing the nurse, Andrea
accuses the nurse of lying and refuses to speak with her. Which response by the nurse
is most likely to be therapeutic at this time?
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, "You seem angry that I didn't speak with you when I promised I would."
Which aspect of assessment has priority when a nurse interviews a rape victim?
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Coping mechanisms the patient is using
The brother of a patient who is seriously mentally ill asks why the patient has been
assigned a case manager. The nurse's reply should cite the major advantage of the use
of case management as:
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"Case managers coordinate services and help with accessing them, making
sure the patient gets what he needs."
The case manager helps the patient gain entrance into the system of care,
can coordinate multiple referrals that so often confuse the seriously
mentally ill person and his family, and can help overcome obstacles to
access and treatment participation. Case managers do not usually possess
the credentials needed to provide psychotherapy or function as therapists.
Case management promotes efficient use of services in general, but only
ASSERTIVE COMMUNITY TREATMENT (ACT) programming has been
shown to reduce hospitalization (which the brother might see as a
disadvantage). Case managers operate in the community, but this is not the
primary advantage of their services.
Mrs. Smith, a patient at the community mental health center, tends to stop taking her
medications at intervals, usually leading to decompensation. Which of the following