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A Man Was Brought to the Emergency Room for Treatment

Question 15

Multiple Choice

A man was brought to the emergency room for treatment of minor injuries after an accident in which his life partner, a transvestite, was killed. He refuses care, paces, screams, "Why, why, why!" repeatedly, and scratches at his arms as if trying to tear the flesh. A nurse says, "Geez, he's going to hurt himself. We'd better admit him to psych." Which explanation for the nurse's response is most likely?


A) The nurse's experience tells her that the patient is developing a psychotic reaction to the stress of the accident and death.
B) She is stigmatizing the patient due to his sexuality, dramatic grief response, and connection to a transvestite person.
C) The nurse is unsure how to handle a person presenting in this manner, is anxious as a result, and copes by wanting to shift the patient to another unit.
D) Medical nurses usually have less skill in managing emotional problems, and psychiatric staff are more appropriate to deal with people who are grieving.

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