Nokea
Which person would the nurse assess as experiencing chronic sorrow?
- A. The mother of a child diagnosed with asthma
- B. The father of an adult son who is a schizophrenic
- C. The daughter whose father experienced a hip replacement
- D. The wife whose husband has recently requested a trial separation
Correct Answer: B
Rationale: The correct answer is B because chronic sorrow is a continuous feeling of grief or sadness that occurs when there is a discrepancy between the reality of a situation and the individual's expectations or hopes. In this case, the father of an adult son who is schizophrenic is likely to experience chronic sorrow due to the ongoing challenges and difficulties associated with his son's mental illness. This long-term impact on his emotional well-being aligns with the concept of chronic sorrow.
Choices A, C, and D do not necessarily imply a long-term or continuous feeling of grief. The mother of a child with asthma may experience anxiety or distress during asthma attacks, but it may not necessarily lead to chronic sorrow. The daughter whose father had a hip replacement may experience temporary worry or concern but not chronic sorrow. The wife whose husband requested a trial separation may experience sadness and distress, but it is not a situation that inherently leads to chronic sorrow.
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By the end of the orientation phase, which outcome can be identified for a newly admittedpatient? The patient will demonstrate:
- A. Positive transference with a staff member
- B. Ability to ask for help in meeting needs
- C. Commitment to long-term therapy
- D. Ability to manage symptoms independently
Correct Answer: A
Rationale: The correct answer is A because positive transference with a staff member in the orientation phase indicates a developing therapeutic relationship, which is crucial for effective treatment. This outcome shows the patient is beginning to trust and feel safe with a staff member, enhancing their engagement in therapy.
Choice B is incorrect because the ability to ask for help in meeting needs may not be fully developed by the end of the orientation phase. Choice C is incorrect as commitment to long-term therapy is usually not established this early in the process. Choice D is incorrect because the ability to manage symptoms independently typically requires more time and therapy progress.
What is the primary reason for the nurse to have an understanding of the various types of activity and adjunct therapies?
- A. The nurse chooses the most cost-effective therapy group.
- B. The nurse is expected to encourage patients’ involvement in the therapies.
- C. The nurse is responsible for placing the patient in the appropriate group.
- D. The nurse needs to be supportive of the treatment team members who direct these therapies.
Correct Answer: B
Rationale: The correct answer is B because nurses are expected to encourage patients' involvement in therapies to promote holistic care and enhance patient outcomes. By understanding different types of therapies, nurses can educate and motivate patients to participate actively in their treatment plans. This empowers patients to take control of their health and improve their overall well-being. Choices A, C, and D are incorrect because the primary role of the nurse in this context is to support and advocate for the patients' engagement in therapies, rather than focusing on cost-effectiveness, placement, or support of other team members.
Which intervention will the nurse implement in the first half hour after the patient has received ECT?
- A. Continually stimulate patient to respond, using physical and verbal means.
- B. Continue bagging patient to improve respiratory function until patient is responsive for 10 minutes.
- C. Reorient as necessary to time, place, and person as level of consciousness improves.
- D. Encourage walking and eating breakfast as quickly as possible.
Correct Answer: C
Rationale: The correct answer is C because reorienting the patient to time, place, and person is crucial in the immediate post-ECT period to help the patient regain orientation as consciousness improves. This intervention helps prevent confusion and disorientation commonly experienced after ECT. A: Continually stimulating the patient may be overwhelming and unnecessary. B: Continuing bagging is not relevant after ECT as the patient's respiratory function should have stabilized. D: Encouraging walking and eating can be unsafe immediately post-ECT due to potential disorientation and muscle weakness.
The nurse is collecting the paintings from the patients after the art session is over. After art therapy, a patient hands the nurse a paper that consists of several black scribbles. Which statement demonstrates the nurse understands the goals and objectives of the therapy?
- A. “I see that you don’t take this very seriously.”
- B. “Can you tell me what happened to prompt such work?”
- C. “Do you want to complete your painting?”
- D. “That’s interesting. It looks like you’re frustrated.”
Correct Answer: B
Rationale: The correct answer is B because it shows empathy and encouragement for the patient to express their feelings. By asking what prompted the artwork, the nurse demonstrates understanding and willingness to explore the patient's emotions. Choice A is judgmental and dismissive, not fostering a therapeutic relationship. Choice C is directive and may pressure the patient. Choice D makes an assumption about the patient's emotions without allowing them to share their perspective.
To plan care for a patient with a psychiatric disorder, the nurse keeps in mind that the primary nursing role related to therapeutic activities is:
- A. Assisting the patient in accomplishing the activity
- B. Ensuring that the patient will comply with the rules of the activity
- C. Ensuring that the patient can accomplish the activity in a timely manner
- D. Directing and controlling the activities to minimize patient anxiety and confusion
Correct Answer: A
Rationale: Rationale: The correct answer is A: Assisting the patient in accomplishing the activity. This is because the primary nursing role related to therapeutic activities is to support and facilitate the patient in engaging in the activity independently. By assisting the patient, the nurse promotes autonomy and empowerment, which are essential for therapeutic outcomes.
Summary:
- B: Ensuring that the patient will comply with the rules of the activity is incorrect as it focuses on compliance rather than empowering the patient.
- C: Ensuring that the patient can accomplish the activity in a timely manner is incorrect as the focus should be on the patient's ability to engage in the activity, not just the speed.
- D: Directing and controlling the activities to minimize patient anxiety and confusion is incorrect as it doesn't promote the patient's independence and may reinforce dependency.