Nokea
A patient is in a smoking cessation program that encourages self-control therapy interventions. Which intervention would the nurse suggest?
- A. Limiting smoking to certain times of the day
- B. Keeping a behavioral diary that tracks when the patient smokes
- C. Identifying factors that encouraged the patient to start smoking
- D. Making plans to spend money saved when smoking stops
Correct Answer: B
Rationale: Self-control therapy emphasizes self-monitoring to identify triggers and patterns, enabling the patient to implement strategies for behavioral change.
You may also like to solve these questions
A 19-year-old patient with undifferentiated schizophrenia is acutely psychotic. The nurse assesses the primary deficit as:
- A. Social isolation
- B. Disturbed thinking
- C. Altered mood states
- D. Poor impulse control
Correct Answer: B
Rationale: Acute psychosis primarily affects thought processes, evidenced by delusions or disorganized thinking.
When leading a therapeutic group, the nurse demonstrates an understanding of the need to act as the group’s executive when:
- A. Restating rules when a new member joins
- B. Being available to orient the new members
- C. Helping a member defuse the anger they are experiencing
- D. Offering personal opinions on group topics
Correct Answer: A
Rationale: When leading a therapeutic group, the nurse's role as the group's executive involves setting and maintaining boundaries, ensuring adherence to the group's rules, and creating a safe and structured environment for all members. Restating rules when a new member joins helps to establish expectations and maintain consistency within the group. It allows the nurse to assert authority and guide the group in a direction that is conducive to therapeutic progress. By upholding the rules and boundaries of the group, the nurse helps to create a sense of safety and trust among the members, allowing for open and productive communication and shared growth.
A 34-year-old male with catatonic schizophrenia has been mute and motionless for several days. Which nursing intervention would be an initial priority?
- A. Orienting the patient to the unit.
- B. Reinforcing reality with the patient.
- C. Establishing a nonthreatening relationship.
- D. Administer prescribed medications or intervention
Correct Answer: C
Rationale: Building trust and rapport is essential when working with patients in a catatonic or withdrawn state.
A patient returned from attending the service memorializing his wife, who died after a sudden illness. Although those around him were visibly saddened, he smiled and remained in control. He refused support from friends, stating, “I can handle anything that comes my way.” The patient’s behavior is an example of grief.
- A. Inhibited
- B. Distorted
- C. Conflicted
- D. Normal
Correct Answer: B
Rationale: The patient's behavior of smiling and remaining in control while refusing support from friends, despite attending a service memorializing his wife's death, is indicative of distorted grief. In distorted grief, individuals may show seemingly inappropriate reactions or behaviors that do not align with the typical grieving process. The patient's avoidance of accepting support and expression of excessive self-reliance in the face of a significant loss suggest a distorted way of coping with grief. In normal grief, individuals may experience a range of emotions and accept support from others as they navigate through the grieving process.
Which person has the greatest potential for developing dysfunctional grief?
- A. A teen who has always been one of the ‘popular kids’
- B. A widow who regularly states, “I really loved my deceased wife”
- C. A woman whose husband died as a result of a sudden, traumatic injury
- D. An adult who has dealt with the loss of several family members over the
Correct Answer: D
Rationale: The person with the greatest potential for developing dysfunctional grief is an adult who has dealt with the loss of several family members over their lifetime. Losing multiple family members can create a cumulative effect, leading to unresolved grief and complicated bereavement reactions. These repeated losses can overwhelm an individual's coping mechanisms and increase the risk of developing dysfunctional grief patterns. The ongoing experience of loss and grief can make it challenging for the individual to process their emotions effectively and adjust to their new reality, potentially leading to prolonged and complicated mourning.