Nokea
Which documentation indicates that the treatment plan for a patient with acute mania was effective?
- A. Converses without interrupting; clothing matched; participates in activities.
- B. Irritable; suggestible; distractible; napped for 10 minutes in afternoon.
- C. Attention span 1 to 3 minutes; journals frequently about unit activities.
- D. Heavy makeup; seductive toward staff; pressured speech.
Correct Answer: A
Rationale: The correct answer is A because the behaviors described indicate that the patient is able to converse without interrupting, their clothing matches, and they participate in activities. These behaviors suggest improved impulse control, stable mood, and engagement in daily activities, indicating effectiveness of the treatment plan.
Choice B describes symptoms of mania such as irritability and distractibility, which would indicate ongoing symptoms rather than improvement. Choice C indicates a short attention span and excessive journaling, which are not indicative of effective treatment. Choice D describes behaviors suggestive of hypersexuality and pressured speech, which are not signs of improvement in acute mania.
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A patient is admitted to the inpatient unit with a diagnosis of schizophrenia. The patient has had episodes of school absenteeism, withdrawal from friends, and bizarre behavior, including talking to his or her 'keeper.' The psychiatric-mental health nurse's most appropriate response is to:
- A. acknowledge that the patient's perceptions seem real to him or her, and refocus the patient's attention on a task or activity
- B. encourage the patient to express his or her thoughts, to determine the meaning they have for the patient
- C. ignore the patient's bizarre behavior, because it will diminish after he or she has been given the correct medication
- D. inform the patient that his or her perceptions of reality have become distorted because of the illness
Correct Answer: A
Rationale: Validating the patient's experience while redirecting to reality-based activity builds trust and reduces agitation without confrontation.
During a counseling session, the mother of one of the clients with an eating disorder states to the nurse, 'I feel like such a failure. How can I be sure my daughter has no more problems like this?' Which response is the most therapeutic?
- A. You are not responsible for your daughter's behavior.'
- B. Avoid giving advice and engaging in power struggles with your daughter.'
- C. It sounds like you are blaming yourself for your daughter's problems.'
- D. Try to ignore any problems your daughter has related to her eating disorder.'
Correct Answer: C
Rationale: Rationale:
C is the correct answer because it demonstrates empathy and reflects active listening. It acknowledges the mother's feelings without judgment and helps her explore her emotions. A: Blames the mother. B: Avoids addressing the mother's emotions. D: Dismisses the daughter's issues.
Which of the following would indicate that a therapeutic activity program for a client with Alzheimer's disease had been successful? Client demonstrates:
- A. Accurate recent memory, positive emotional response, increased verbal expression
- B. Increased attention span, verbal expression of remote memory, positive emotional response
- C. Positive use of perseveration, reduction in use of habitual skills, improved abstract reasoning
- D. Positive emotional response, ability to remember multiple steps, accurate recent memory
Correct Answer: B
Rationale: The correct answer is B because increased attention span, verbal expression of remote memory, and positive emotional response indicate successful therapeutic program for Alzheimer's client. Attention span and verbal expression show cognitive improvement, while positive emotional response indicates overall well-being. Option A lacks improvement in remote memory. Option C mentions reduction in habitual skills, which is not desirable. Option D emphasizes recent memory and remembering multiple steps, but doesn't cover improvement in attention span or remote memory.
What is the most appropriate initial treatment goal for a patient with anorexia nervosa?
- A. Achieve rapid weight gain to restore nutritional status.
- B. Restore the patient's nutritional balance through gradual weight gain.
- C. Focus on addressing body image issues before weight gain.
- D. Encourage the patient to participate in group therapy for support.
Correct Answer: B
Rationale: The correct initial treatment goal for a patient with anorexia nervosa is to restore the patient's nutritional balance through gradual weight gain. This approach is crucial as rapid weight gain can lead to refeeding syndrome, a potentially life-threatening complication. Gradual weight gain allows the body to adjust to increased caloric intake safely. Addressing body image issues is important but can be more effectively tackled after nutritional balance is restored. Group therapy can be beneficial but should not be the primary focus initially. Thus, choice B is the most appropriate initial treatment goal.
A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism? Select one tha does not apply.
- A. Failure of the elderly to receive necessary medical information
- B. Development of public policy that discriminates against the elderly
- C. Staff shortages because caregivers prefer working with younger adults
- D. The perception that elderly consume a smaller share of medical resources
Correct Answer: D
Rationale: Because of society's negative stereotyping, elderly patients often receive less information (A) and fewer treatment options, public policy discriminates against them (B), and staff shortages occur as some prefer younger patients (C). The elderly are seen to consume more resources (not D), and discrimination spans all staff (not E).