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When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use?
- A. Ask him if he has a drinking problem.
- B. Explore the option of his moving in with someone.
- C. Reminisce with the patient and review his life.
- D. Assess for hopelessness and helplessness.
Correct Answer: C
Rationale: Reminiscence and life review are effective techniques to help older adults deal with changing life circumstances.
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How should the nurse document the behavior of a patient with mental illness?
- A. Very disruptive to a person in society
- B. Differing from socially acceptable behavior
- C. Causing the person to be involved in problems
- D. Resulting from an inability to exercise control
Correct Answer: B
Rationale: Mental illness can cause behavior that deviates from socially and culturally acceptable behavior.
When developing a care plan for a mentally ill patient, what should the nurse assess first?
- A. Coping strategies
- B. Emotional status
- C. Medications taken
- D. Nutritional status
Correct Answer: B
Rationale: The nurse's first priority would be to assess the emotional status of the mentally ill patient.
When the patient is told that his insurance will no longer pay for his physical therapy, the nurse is aware that this obstruction to his goal may result in which concept?
- A. Conflict
- B. Adaptation
- C. Frustration
- D. Anxiety
Correct Answer: C
Rationale: Frustration refers to anything that interferes with goal-directed activity.
A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?
- A. High anxiety
- B. Denial
- C. Reconciliation
- D. Adaptation
Correct Answer: B
Rationale: The father is exhibiting signs of denial. Once the reality of the situation becomes evident, anger and confusion follow.
During the 17th and 18th centuries, care of patients with mental illness often was cruel. What type of care was used by Dr. Philippe Pinel to bring about change?
- A. Personal care
- B. Individual care
- C. Behavior care
- D. Humane care
Correct Answer: D
Rationale: Dr. Philippe Pinel advocated humane care.