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A nurse and patient are entering the termination phase in the group experience. An important nursing intervention will be to:
- A. Encourage the group to describe goals for change.
- B. Inquire whether the group needs more time to accomplish goals.
- C. Assist the group to explore alternative coping strategies for problems
- D. Discuss feelings about leaving the group and the support found with the group.
Correct Answer: D
Rationale: The correct answer is D because discussing feelings about leaving the group and the support found within the group is crucial during the termination phase. This allows for processing emotions, reflecting on progress, and providing closure. Choice A focuses on future goals, not on the current phase. Choice B addresses time constraints, not emotional support. Choice C is about coping strategies, which may not be the priority during termination. Thus, D is the most appropriate intervention for this phase.
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An adult patient shares that, When my mother died when we were children, I never saw my
father show any emotion. What do you think will happen with those unexpressed feelings?
Which response is most appropriate?
- A. Pent-up emotions may lead to depression or other disorders.
- B. Your father probably has worked through his grief by this time.
- C. Maybe you can teach him how to best express his own feelings.
- D. If feelings are not effectively expressed, the person can become suicidal.
Correct Answer: A
Rationale: Step 1: Pent-up emotions are emotions that are suppressed or not expressed.
Step 2: Unexpressed feelings, especially from past traumatic events, can lead to emotional distress.
Step 3: Long-term suppression can manifest as depression or other mental health disorders.
Step 4: Therefore, choice A is the most appropriate response as it highlights the potential negative consequences of unexpressed emotions.
Summary:
- Choice B assumes the father has processed his grief, which may not be the case.
- Choice C oversimplifies the complexity of emotional expression and may not address the root issue.
- Choice D jumps to an extreme outcome without considering the range of possible consequences.
The nurse determines that the most effective point of intervention for bereavement is:
- A. Promotion of mental and spiritual health across the life spa
- B. At the time a newly discovered loss is impending
- C. Immediately after the loss has occurred
- D. When requested by the patient
Correct Answer: C
Rationale: The correct answer is C because intervening immediately after the loss has occurred allows for timely support and processing of emotions. This is crucial for healthy grieving and preventing complications. Choice A is too broad and not specific to the immediate need post-loss. Choice B focuses on pre-loss, which is not the most effective time for intervention. Choice D puts the responsibility on the patient, which may delay necessary support.
Which behaviors are reflective of legitimate phases of a group’s development? Select all that apply.
- A. Stating the goals of the group
- B. Establishing who will assume the leadership role
- C. Inviting family members to attend and provide their input
- D. Feeling safe enough to discuss painful personal situations
Correct Answer: A
Rationale: The correct answer is A because stating the goals of the group is reflective of the forming stage where members clarify the purpose and direction. Choice B is incorrect as determining leadership roles typically occurs during the storming stage. Choice C is incorrect as involving family members is not part of the group development process. Choice D is incorrect as discussing personal situations usually happens during the norming or performing stages, not in the initial forming stage.
A community health nurse visits an elderly person whose spouse died 6 months ago. Two vodka bottles are in the trash. When the nurse asks about alcohol use, this person says, “I get lonely and drink a little to help me forget.” Select the nurse’s most therapeutic intervention.
- A. Assess whether this patient is drinking and driving.
- B. Teach the person about risks for alcoholism and suggest other coping strategies
- C. Advise the person not to drink alone because the risks for injury increase.
- D. Arrange for the person to attend an Alcoholics Anonymous meeting for older adults.
Correct Answer: B
Rationale: The correct answer is B: Teach the person about risks for alcoholism and suggest other coping strategies. This intervention is the most therapeutic because it addresses the underlying issue of using alcohol as a coping mechanism for loneliness and grief. By educating the person about the risks of alcoholism, the nurse can help the individual understand the potential harm of their current coping strategy. Additionally, suggesting alternative coping strategies can provide healthier ways to deal with loneliness and grief, ultimately promoting better overall well-being.
Choice A is incorrect because while assessing drinking and driving is important, it does not directly address the underlying emotional reasons for the alcohol use.
Choice C is incorrect as it focuses on the risks of injury rather than addressing the emotional aspects of the person's drinking behavior.
Choice D is incorrect as it jumps to a specific intervention without first addressing the person's understanding of their alcohol use and providing alternative coping strategies.
The spouse of a patient recently diagnosed with early-stage Alzheimer's disease asks, "Is there anything I can do to help delay the progression of this disease?" Which strategy has the greatest potential for preserving the protective abilities of immune cells related to the disease?
- A. Minimize contact with the public during cold and flu season.
- B. Enroll the patient in an exercise program that meets regularly.
- C. Provide supplements to enhance the patient’s immune system.
- D. Identify creative ways to keep the patient mentally challenged.
Correct Answer: B
Rationale: The correct answer is B: Enroll the patient in an exercise program that meets regularly. Regular exercise has been shown to have numerous benefits for brain health, including improving cognitive function and reducing the risk of cognitive decline. Exercise also helps in maintaining a healthy immune system by promoting the circulation of immune cells throughout the body. This can help support the protective abilities of immune cells related to Alzheimer's disease.
Minimizing contact with the public during cold and flu season (Choice A) may reduce the risk of infections but does not directly address immune cell function. Providing supplements to enhance the patient's immune system (Choice C) may not be supported by scientific evidence and can potentially have adverse effects. Identifying creative ways to keep the patient mentally challenged (Choice D) is beneficial for cognitive health but does not directly target immune cell function as effectively as regular exercise.