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A Nurse Has for the Past 4 Weeks Been Working

Question 28

Multiple Choice

A nurse has for the past 4 weeks been working with a psychotic patient who has been mute and very withdrawn.The patient suddenly encroaches on the nurse's personal space by touching inappropriately.What is the most therapeutic response by the nurse to address this behavior?


A) Ignore it this time because the patient is, at last, responding.
B) Firmly communicate acceptable boundaries to the patient.
C) Gently touch the patient's head and then observe the reaction.
D) Smile while telling the patient that people don't like being touched like that.

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