Test Bank forPsychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition: A How-To Gui

Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: Integrate an understanding of the positive and negative effects of psychiatric medications into pharmacological treatment.

Question 11 Type: MCSA The nurse instructs the clients to take the medications that are prescribed because the psychiatrist knows what is best for the client. How would the nurses supervisor evaluate the effectiveness of the nurses teaching?

1. The nurse is demonstrating a paternalistic attitude that may contribute to client nonadherence.

2. Teaching the client to take all medications should help keep the client out of the hospital.

3. The nurse is helping the client develop trust in the psychiatrist.

4. The nurse is giving simple instructions that will be readily accepted by the client.

Correct Answer: 1 Rationale 1: In order to promote adherence, the nurse should partner with the client and the clients family. Telling the client that someone else knows what is best for the client is paternalistic and interferes with partnering with clients. Although the nurses statement is simple, it is not one that is readily accepted by clients. One develops trust through actions, not by telling someone to trust.

Rationale 2: In order to promote adherence, the nurse should partner with the client and the clients family. Telling the client that someone else knows what is best for the client is paternalistic and interferes with partnering with clients. Although the nurses statement is simple, it is not one that is readily accepted by clients. One develops trust through actions, not by telling someone to trust.