Nokea
What would be an appropriate short-term outcome for a patient diagnosed with residual schizophrenia who exhibits ambivalence?
- A. Decide their own daily schedule.
- B. Decide which unit groups they will attend.
- C. Choose between two outfits to wear each morning.
- D. Choose which clinic staff member to work with.
Correct Answer: C
Rationale: Residual schizophrenia can cause ambivalence or difficulty making decisions. Offering simple choices reduces decision-making stress and promotes autonomy.
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A patient is experiencing distress with midlife transition. Which statement provides support that the patient is successfully managing this stressor?
- A. “I won’t give up on my dream to be rich.”
- B. “I wasn’t being realistic when I set being rich as my life’s goal.”
- C. “I’ll never be rich, but I can save enough to live comfortably.”
- D. “Being rich doesn’t necessarily make a person happy.”
Correct Answer: C
Rationale: Successfully managing midlife transitions involves finding realistic and satisfying alternatives to earlier, unmet goals, demonstrating emotional growth and adaptability.
Immediately after electroconvulsive therapy, in which position should a nurse place the client?
- A. On his or her side to prevent aspiration.
- B. In semi-Fowlers position to promote oxygenation
- C. In Trendelenburg’s position to promote blood flow to vital organs
- D. In prone position to prevent airway blockage
Correct Answer: A
Rationale: Immediately after ECT, the patient may still be recovering from the effects of muscle relaxants and the seizure. Positioning the client on their side helps prevent aspiration in case of vomiting and maintains an open airwa
When a hospitalized patient dies, his wife stares blankly at the nurse and states, “It can’t be.” The nurse assesses this as indicating:
- A. Shock and disbelief
- B. Anger and hostility
- C. Disorganization and confusion
- D. Despair and protest.
Correct Answer: A
Rationale: The wife's statement, "It can't be," indicates that she is experiencing shock and disbelief at the news of her husband's death. This response is common when individuals are faced with a sudden and unexpected loss. The wife's blank stare and statement suggest that she is struggling to accept the reality of the situation, which aligns with the symptoms of shock and disbelief.
Which intervention will the nurse planning care for a patient with acute grief implement?
- A. Encouraging dependence on the nurse for support
- B. Providing information about the grief process
- C. Suggesting utilization of community resources in a few weeks
- D. Advising the patient to minimize contact with nonfamily members
Correct Answer: B
Rationale: Providing information about grief is an important intervention for individuals experiencing acute grief. It helps the patient understand their emotional reactions and the natural process of grieving, reducing feelings of isolation or confusion.
A nurse wants to assess for suicidal ideation in an elderly patient. Select the best question to begin this assessment.
- A. What are your beliefs about a person’s right to take his or her own life?
- B. Are there any things going on in your life that would cause you to consider suicide?
- C. Do you think you are vulnerable to developing a depressed mood?
- D. If you felt suicidal, would you tell someone about your feelings?
Correct Answer: B
Rationale: his open-ended question directly addresses the patient’s thoughts about suicide in the context of their current life situation, giving them an opportunity to express any concerns or ideations.