Question

1/ Think about each of the following situations, then explain each patient’s behavior.
   a.   Mrs. M. has a private room. Her gown appears very expensive and there are luxury cosmetic items on her dresser. She is hospitalized for diagnostic purposes. After the second day, she appears to lack interest in grooming. Her hair is uncombed and she has not applied any make-up.
   b.   Johnny is admitted through the clinic for a tonsillectomy. When the phlebotomist tries to draw a blood sample, Johnny kicks and screams. When he is being prepared for the operating room, a string with a    small bag attached is found around his neck. He tries to prevent this from being removed, saying he will die if he is not allowed to wear it to the operating room.
2/ List five differences between the health care provider/patient relationship and the friend-to-friend relationship.

Answer 1

1. a. Hospitalizaion is stresful for the clients, where the patients need support from their famiy and health professionals inorder to cope up with the disease. In this case, the client is exhibiting symptoms of ineffective coping related to situational crisis due to inadequate level of confidence in ability to cope as evidneced by lack of interest in self-care, poor grooming etc.

Adaptive mechanisms are necessary to appropriately alter one's lifestyle, deal with chronicity of illness and integrate precscribed therapies into daily living

1b. This client is anxious about the surgery due to lack of knowledge regarding the condition, treatment , self care and discharge needs. That is the reason why client exhibits inappropriate, exaggerated behaviors(agitated, apathic, hostile)

This situation arises because of lack of proper pre-operative teaching. Proper teaching provides knowledge base from which client can make informed therapy choices and consent appropriate for correct procedure and site . It also provides opportunity to clarify misconception. Inaddition, it enhances client's understanding and control relieve stress related to unknown or unexpected

Characteristics	Nurse-client realtionship	Personal relationship (casual, friend)
Behavior	Regulated by code of ethics and professional standards	Guided by personal values and beliefs
Length of relationship	Time-limited for the length of client's needs for nursing care	May last a life-time
Purpose of relationship	Goal directed to provide care to the client	Pleasure, interest directed
Balance of power	Unequal power- RN has more power due to authority knowledge, influenze and access to privilleged information about the client	Relatively equal
Preparation for relationship	RN requires formal knowledge, preparation, orientation and training	No formal requirement