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Chapter 41: Problem 13

Which of the nursing interventions below is least likely to assist a severely ill patient with cancer to maintain a positive sense of self? a. Making it a point to address the patient by name each time you enter the room b. Fatiguing the patient as little as possible by performing all procedures in silence c. Continuing to respect the patient's privacy and sensibilities d. Offering the patient a simple explanation before moving her in any way

Short Answer

Expert verified
Option B is least likely to assist in maintaining a positive sense of self.

Step by step solution

01

Understanding the Question

The exercise asks which intervention is least likely to help a severely ill cancer patient maintain a positive sense of self. The options include addressing the patient by name, performing procedures silently, respecting privacy, and providing simple explanations.
02

Analyzing Option A

Option A involves addressing the patient by name. This fosters a personal connection and acknowledges the patient's identity, which can help maintain their sense of self.
03

Analyzing Option B

Option B involves performing all procedures in silence to avoid fatiguing the patient. Although this minimizes physical fatigue, it can be impersonal and may not affirm the patient's identity or presence, which are important for maintaining a positive sense of self.
04

Analyzing Option C

Option C involves respecting the patient's privacy and sensibilities, which directly supports their dignity and personal identity, crucial for a positive sense of self.
05

Analyzing Option D

Option D involves offering simple explanations before moving the patient. This shows respect for the patient's autonomy and involvement in their care, promoting their sense of self.
06

Determining the Least Effective Intervention

Among the options, performing procedures in silence is the least likely to maintain a positive sense of self, as it can result in the patient feeling isolated and not acknowledged.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Patient Identity
Patient identity is about acknowledging the unique individual qualities of each person receiving healthcare. In a clinical setting, using the patient's name is a small but powerful gesture. It affirms their presence and humanity, ensuring they are seen as more than just a patient number. Consistently addressing individuals by their names during interactions helps build trust and rapport. It signals respect and personalization, which are key components in fostering a supportive healthcare environment. This practice also reminds patients of their identity beyond their illness, supporting their mental and emotional wellbeing.
Sense of Self
A patient's sense of self encompasses their self-awareness and personal identity, both of which are crucial for maintaining mental health during illness. Maintaining a positive sense of self involves respecting the patient's dignity, providing autonomy, and affirming their individuality. Performing medical procedures while engaging with the patient verbally, rather than in silence, upholds their sense of self by keeping them informed and involved in their care. It is important for healthcare providers to continue acknowledging the patient's personal history and preferences, which helps in sustaining their individual identity despite the challenges of their illness.
Patient Privacy
Patient privacy is a fundamental aspect of healthcare that protects the dignity and personal information of the patients. It involves maintaining confidentiality of medical information and ensuring respectful boundaries are kept during consultations and treatments. Respect for privacy can greatly enhance a patient's trust in their healthcare providers and enables them to feel more comfortable and secure in sharing crucial health information. By upholding privacy, healthcare professionals demonstrate respect for the patient's personal space, upholding their dignity and contributing positively to their overall sense of self.
Patient Communication
Effective patient communication involves clear, respectful, and personalized interactions between healthcare providers and patients. It is not only about delivering information but also about listening and understanding patients' concerns and preferences. Offering simple explanations before any procedure helps reassure patients, helps them stay informed, and diminishes anxiety. Such communication honors patient autonomy and involvement in decision-making processes. When healthcare providers communicate thoughtfully, they build stronger relationships with patients, empowering them and enhancing their overall experience and satisfaction with care.

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Most popular questions from this chapter

Read the patient data below and use the following letters to indicate the diagnosis that data suggest (each response may be used only once): a. Personal Identity Disturbance b. Body Image Disturbance c. Self-Esteem Disturbance d. Altered Role Performance Kelly Smith, a college freshman away from home for the first time, says, "Why did I have to be born into a family of big bottoms and short fat legs! No one will ever ask me out for a date. Oh, why can't I have long thin legs like everyone else in my class? What a frump I am."

Joe was able to list only three facts, traits, or qualities to describe himself. The nurse then asked him to list facts, traits, or qualities that he would like to be descriptive of himself or that he thinks he should have. Joe quickly listed \(25,\) all of which were characteristic of a successful man. When asked if he knew anyone like this, he replied, "My father"'This discrepancy between Joe's description of himself as he is and as he would like to be indicates which of the following? a. Negative self-concept b. Joe's modesty (lack of conceit) c. Body image disturbance d. Low self-esteem

David and his wife decided that she will get a job so that David can go to pharmacy school, as he has wanted to do for some time. Their three teenagers, who were involved in the decision, are also getting jobs to buy their own clothes. David plans to work 12 to 16 hours weekly. He states, "I was always an A student, but I may have to settle for Bs now because I don't want to neglect my family, and I need to work a few hours so that my wife won't have to work overtime." David's self-expectations are: a. Realistic and positively motivating his development b. Unrealistic and negatively motivating his development c. Unrealistic but positively motivating his development d. Realistic but negatively motivating his development

Read the patient data below and use the following letters to indicate the diagnosis that data suggest (each response may be used only once): a. Personal Identity Disturbance b. Body Image Disturbance c. Self-Esteem Disturbance d. Altered Role Performance Marissa Yule, a 33-year-old businessperson, is now in counseling attempting to deal with a long-repressed history of sexual abuse by her father. "I guess I should feel satisfied with what I've achieved in life, but I'm never content, and nothing I achieve makes me feel good about myself \(\ldots\). I hate my father for making me feel like I'm no good. This is an awful way to live."

Joe was asked to make a list of 20 words that describe him. After 15 minutes, Joe listed the following: 25 years old, male, named Joe; then declared he couldn't think of anything else. Joe has demonstrated which of the following? a. Lack of self-esteem b. Deficient self-knowledge c. Unrealistic self-expectation d. Inability to evaluate himself
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