Question

Questions 1. Was the nurse's decision not to offer Jim half of her sandwich a good idea or not? Give a rationale for your answer. What else could the nurse do? 2. What do you think is the rationale for the nurse's opening remark: "I notice you did not go to eat with your group"? What therapeutic communi- cation techniques are you familiar with that could be used in communication with Jim? 3. How do you think the nurse could best deal with the peers' comments about Jim blushing? 4. What is Social Phobia? Do you think this client has signs and symptoms that match those of Social Phobia (Social Anxiety Disorder)? Give a rationale for your answer. 5. Are there any differences in the signs and symp- toms of children with Social Phobia compared to those of adults? 6. What are some theories of causation of Social Phobia? 7. What is the incidence of Social Phobia? 8. What other disorders or problems are common in the population experiencing Social Phobia? Could there be a connection between this client's drinking and Social Phobia (Social Anxiety Disorder)? If so, how would you assess for a connection? 9. What is the current thinking about heredity and alcohol abuse? What are some current treatments for those with early onset alcoholism? 10. What are some of the current treatments being used to treat Social Phobia? 11. What nursing diagnoses would you likely write for this client? 12. Discuss possible goals and interventions for this client. Is it possible to treat the alcoholism and the Social Phobia concurrently

Answer 1

1. Yes , the nurse's decision not to give half of her sandwich is a good idea because the nurse should maintain the therapeutic relationship ,it should not go beyond the boundaries of it .

2. The nurse is using Open-ended questions as strategies to encourage patients to discuss his problems. Therapeutic communication techniques are :-

1. offering general leads

- encourage patient to verbalize, take direction in convo

ex: go on, tell me about it, continue, where would you like to begin?, nodding

2. giving broad opening

- encourages patient to take the lead in the interaction

ex: where would you like to begin? is there something you would like to talk about?

3. using silence

- helps patient collect thoughts or think through a point

- patiently waiting attentively

4. accepting

- indicates that the patient has been understood

ex: yes, uh huh, i hear what you are saying

5. empathy

- the nurse makes a feeling response to express understanding of the importance of both the feeling and the factual content

ex: that must be very difficult/frustrating

6. giving recognition, acknowledging, validating

- giving recognition of a change in behavior, an effort made, offers positive regard

ex: you're wearing a different dress today, you are the one who helped

7. offering self

- making oneself available on an unconditional basis

ex: i would like to spend some time sitting with you, i'll stay her for about 20 minutes and talk with you

8. self-disclosure

- nurse must be very careful when sharing person info

ex: i am a cancer survivor

3. Not taking the peers comments about Jim's blushing seriously is the best way to deal with such situations and focusing on care of the patient .

4. Social phobia - fear of being the focus of attention or scrutiny (the centre of attention), or of doing something that will be intensely humiliating. Sign and symptoms are more likely to be highly emotional, socially fearful and inhibited, sad, and lonely; they are also tense, and withdrawns . Yes , Jim had the sign and symptoms of social phobia and that's he used to remain alone and communicates very less .