Nokea
A nursing intervention for the initial phase of grief should focus on:
- A. Ignoring the patient until your presence is requested.
- B. Staying available to provide support when the person demonstrates distress.
- C. Insisting the person face reality of the loss.
- D. Organizing a support group to provide a support system.
Correct Answer: B
Rationale: The initial phase of grief is denial. The individual may have difficulty facing the scope of the loss initially, so being available to support him or her when the emotions come is important.
You may also like to solve these questions
An example of a maturational crisis would be:
- A. Experiencing an unplanned pregnancy.
- B. Losing one's job within months of retiring.
- C. Working at a bank that was recently robbed.
- D. Having one's only child leave home to attend college.
Correct Answer: D
Rationale: The correct answer is D because having one's only child leave home to attend college is an example of a maturational crisis. This event represents a significant life transition that can trigger emotional distress and force a reevaluation of one's identity and roles as a parent. It is a normal developmental milestone that signifies a shift in family dynamics and requires adjustment to an empty nest.
A: Experiencing an unplanned pregnancy is not a maturational crisis as it is more related to a situational crisis.
B: Losing one's job within months of retiring is not a maturational crisis but rather a situational crisis related to financial security.
C: Working at a bank that was recently robbed is not a maturational crisis but a situational crisis related to work safety and stress.
The nurse is engaging in patient- and family-centered care most effectively when:
- A. Including a client's homosexual partner in the discussion regarding discharge planning.
- B. Allowing a client admitted for acute psychiatric care to be visited by family members.
- C. Helping a cognitively impaired client call his parents who live out of state.
- D. Volunteering at a clinic that provides free services to clients of all ages.
Correct Answer: A
Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.
The nurse is addressing a primary symptom of schizophrenia when:
- A. Arranging for the client to attend stress management classes.
- B. Reinforcing the client's ability to interrupt intrusive paranoid thoughts.
- C. Working with the client to arrive at a budget that allows him to live independently.
- D. Supporting the client in his attempts to stop using alcohol to cope with his hallucinations.
Correct Answer: B
Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment.
A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking.
C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia.
D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.
Describe three of the seven SFT interventions.
- A. Joining, boundary-making, unbalancing
- B. Lecturing, punishing, isolating
- C. Analyzing dreams, free association, transference
- D. Mediation, arbitration, negotiation
Correct Answer: A
Rationale: Joining builds rapport, boundary-making clarifies roles, unbalancing shifts power dynamics in SFT.
Which nursing intervention best builds a therapeutic nurse-client relationship?
- A. Actively listening as the client expresses his or her thoughts and feelings
- B. Intervening when the client begins to state beliefs that come from his or her illness
- C. Evaluating a client's behaviors and interpersonal relationships frequently to identify stressors
- D. Passively allowing the client to control the communication and tone of the discussions
Correct Answer: A
Rationale: The correct answer is A because actively listening allows the nurse to show empathy, understanding, and respect towards the client, which are essential for building a therapeutic relationship. By actively listening, the nurse can demonstrate genuine interest in the client's thoughts and feelings, fostering trust and rapport.
Choice B is incorrect as intervening when the client expresses beliefs from their illness may disrupt the client's expression and hinder the development of trust.
Choice C is incorrect because evaluating behaviors and relationships may create a sense of judgment and lack of privacy, which can be detrimental to the therapeutic relationship.
Choice D is incorrect because passively allowing the client to control communication may lead to a lack of direction and boundaries, potentially hindering effective communication and rapport-building.