Nokea
A group of nursing students are reviewing information about counseling interventions. The students demonstrate a need for additional review when they identify counseling interventions as involving which of the following?
- A. Specific, time-limited intervention
- B. Focus on coping improvement
- C. Goal of regaining functional abilities
- D. Prevention of disability
Correct Answer: A
Rationale: Counseling interventions focus on improving coping (B), regaining function (C), and preventing disability (D), but they are not always specific or time-limited (A), as they may be ongoing or flexible. Identifying A as a key feature indicates misunderstanding.
You may also like to solve these questions
A nurse is performing a biopsychosocial assessment of a patient with depression. Which of the following would the nurse assess as part of the psychological domain? Select all that apply.
- A. Abstract reasoning
- B. Medication use
- C. Mood
- D. Orientation
- E. Self-care
Correct Answer: A,C,D
Rationale: The psychological domain includes cognitive and emotional functions such as abstract reasoning (A), mood (C), and orientation (D). Medication use (B) is part of the biological domain, and self-care (E) relates to the social or functional domain.
A patient is engaged in bibliotherapy and begins to express his feelings because he closely associates his experience with that provided by the reading material. The nurse interprets this as which of the following?
- A. Insight
- B. Catharsis
- C. Anxiety reduction
- D. Problem solving
Correct Answer: B
Rationale: Bibliotherapy involves emotional release through relating to reading material. The patient?s expression of feelings indicates catharsis, the release of pent-up emotions. Insight involves understanding, anxiety reduction is a secondary effect, and problem-solving involves action planning.
The nurse is reviewing the assessment data of a patient diagnosed with a mental illness. The patient is to be prescribed medication to treat the illness. The nurse would identify changes in which laboratory values as being the least significant?
- A. Hemoglobin
- B. Alanine aminotransferase (ALT)
- C. Blood urea nitrogen (BUN) level
- D. Serum creatinine
Correct Answer: A
Rationale: Hemoglobin levels, related to oxygen-carrying capacity, are less directly relevant to psychiatric medication management compared to liver function (ALT) and kidney function (BUN, creatinine), which affect drug metabolism and excretion. Abnormal hemoglobin may indicate anemia but is less critical for psychotropic drugs.
After assessing a patient, the nurse noted the following: he was tearful, he tried to kill himself before coming into the hospital, he had no immediate plan for another suicide attempt, he was unable to concentrate, and he reported having trouble sleeping and having little or no appetite. The nurse also noted that the patient?s appearance was unkempt, that he spoke in a low monotone, and that he was unable to establish and maintain eye contact. Based on this information, which nursing diagnoses would be the most appropriate?
- A. Ineffective Role Performance
- B. Risk for Infection
- C. Risk for Suicide
- D. Risk for Self-Mutilation
Correct Answer: C
Rationale: The patient?s recent suicide attempt, tearfulness, and depressive symptoms (poor concentration, sleep issues, low appetite, unkempt appearance) indicate a high risk for suicide, making 'Risk for Suicide' the most appropriate diagnosis. Ineffective Role Performance is less immediate, and there?s no evidence for infection or self-mutilation risk.
The nurse is assessing a patient?s immediate and short-term memory. Which of the following would be most appropriate?
- A. Questioning the patient about an event that has occurred within the past several months
- B. Giving the patient a simple scenario and having him identify what would be the best response
- C. Giving the patient three words and asking him to recite them now and then in 5 minutes
- D. Asking the patient to tell the nurse the date, time, and current location
Correct Answer: C
Rationale: Testing immediate and short-term memory involves recalling information after a brief delay. Giving three words to recite now and in 5 minutes assesses both immediate recall and short-term memory. Past events test long-term memory, scenarios test judgment, and orientation tests cognitive status.