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While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client’s behaviors. What is the main goal of this therapeutic technique?
- A. Initiate a non-threatening conversation with the client.
- B. Dialog about the ineffectiveness of his interactions.
- C. Allow the client to identify the way he interacts.
- D. Discuss the client’s feelings when he responds.
Correct Answer: C
Rationale: The main goal of the therapeutic technique demonstrated by the RN is to allow the client to identify the way he interacts (Choice C). By mirroring the client's behaviors, the RN provides a reflection of the client's own actions, which can help the client become more self-aware of how he presents himself. This can lead to insight into his own behavior and communication style, facilitating personal growth and potential behavior change.
Choice A is incorrect because the main goal is not just to initiate conversation, but to promote self-awareness. Choice B is incorrect as the focus is not on discussing the ineffectiveness of interactions but rather on self-identification. Choice D is incorrect as the main focus is not on discussing the client's feelings but on allowing the client to recognize his own behavior patterns.
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The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
- A. Hold all bedtime medications.
- B. Keep the client NPO after mid-night.
- C. Implement elopement precautions.
- D. Give the client an enema at bedtime.
Correct Answer: B
Rationale: The correct answer is B: Keep the client NPO after midnight. This is important to prevent aspiration during ECT, as anesthesia is often used and the client must have an empty stomach. Holding all bedtime medications (choice A) is not necessary unless specified by the healthcare provider. Implementing elopement precautions (choice C) is not relevant to ECT procedure. Giving the client an enema at bedtime (choice D) is unnecessary and not indicated for ECT preparation.
A nurse is caring for a client who was admitted for alcohol disorder. which one of the following require follow uo by the nurse? select all that apply
- A. Cardiac assessment
- B. Smoking history
- C. Genitourinary assessment
- D. Neurological assessment
- F. Client's recent loss
- G. Gastrointestinal assess,ment
Correct Answer: B
Rationale: The correct answer is B: Smoking history. This requires follow-up by the nurse because smoking can exacerbate alcohol-related health issues. The nurse needs to assess smoking habits to provide comprehensive care and address potential risks.
A: Cardiac assessment is important but not specifically related to alcohol disorder.
C: Genitourinary assessment may be important but is not a priority in this case.
D: Neurological assessment is crucial in alcohol disorder but is not the focus of the question.
F: Client's recent loss is important but not directly related to the client's alcohol disorder.
G: Gastrointestinal assessment is relevant but not a priority in this scenario.
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement?
- A. Isolate the client from the other clients.
- B. Administer PRN sedative.
- C. Avoid recognizing the behavior.
- D. Escort the client to his room.
Correct Answer: C
Rationale: The correct answer is C: Avoid recognizing the behavior. Echolalia is the repetition of words or phrases spoken by others, common in schizophrenia. By not reinforcing or acknowledging the behavior, the client may eventually stop. Isolating the client (Choice A) may lead to feelings of rejection. Administering a sedative (Choice B) may not address the underlying behavior. Escorting the client to his room (Choice D) does not address the echolalia directly.
What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing†to a patient?
- A. Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation.
- B. The patient is more interested in talking to you than listening to what you have to say and so is not likely to be offended.
- C. Considering the patient’s history, there is little chance that the comment will do any actual harm.
- D. Most people with a mentally illness have by necessity developed a high tolerance of forgiveness.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: Effective nurse-patient communication is based on building trust, empathy, and understanding. Patients value sincerity, respect, and genuine concern from their healthcare providers. By conveying acceptance and respect, nurses can establish a positive rapport with patients, which is essential for effective communication. Patients are more likely to open up and trust a nurse who demonstrates empathy and understanding. This approach helps create a supportive environment for the patient to express their concerns and feel heard. Choices B, C, and D do not address the fundamental principles of building a therapeutic nurse-patient relationship through effective communication. Choice B assumes the patient is not likely to be offended, which may not always be the case. Choice C focuses on potential harm, which is not the primary concern in effective communication. Choice D makes a generalization about individuals with mental illness, which is not relevant to the principle of communication in nursing.
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
- A. Medications provided are ineffective.
- B. Nurses are trying to control their minds.
- C. The medications will make them sick.
- D. They are not actually ill.
Correct Answer: D
Rationale: The correct answer is D: They are not actually ill. Anosognosia is a symptom of schizophrenia where patients lack awareness of their illness. This leads them to deny their condition and refuse treatment. Choice A is incorrect as it assumes patients are aware of the medication's effectiveness. Choice B is incorrect as it introduces a paranoid belief not related to anosognosia. Choice C is incorrect as it focuses on physical side effects, not denial of illness.