Nokea
Which statement by a patient who has given informed consent for ECT confirms that the patient understands the side effects of this treatment?
- A. “It will take several weeks before I feel good again.”
- B. "I won’t need any further treatments after completing this one session."
- C. “My short-term memory loss will be only temporary."
- D. "This treatment guarantees that my depression will never come back."
Correct Answer: C
Rationale: The correct answer is C because it accurately reflects the known side effect of ECT, which is temporary short-term memory loss. This statement indicates the patient comprehends the potential cognitive impact of the treatment.
A is incorrect because it does not address specific side effects of ECT. B is incorrect as it implies a misconception that only one session is needed. D is incorrect as ECT does not guarantee that depression will never return.
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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.
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.
An outcome for a patient experiencing anticipatory grieving for a spouse diagnosed with terminal cancer would be that the patient will:
- A. Continue to be emotionally involved with the dying spouse
- B. Develop protective mental mechanisms to allay the pain of spousal loss
- C. Not voice threats of physical violence that is either self or others directed
- D. Agree to stay at home and care for the spouse with appropriate assistance
Correct Answer: A
Rationale: The correct answer is A because anticipatory grieving involves emotional involvement with the dying spouse. This allows the patient to process emotions, express love, and make meaningful connections before the actual loss. Choice B is incorrect as it suggests avoidance of pain through mental mechanisms, which is not conducive to healthy grieving. Choice C is incorrect as it focuses on a specific behavior (violence) rather than the emotional process of grieving. Choice D is incorrect as it assumes the patient's agreement to care for the spouse is the primary outcome, overlooking the emotional aspect of anticipatory grief.
A teen states, "I miss my dog so much, but if I start crying, I will never stop." This reflects a fear of:
- A. Losing control over her emotions
- B. Losing the support of her friends and family
- C. Embarrassing herself by crying in public
- D. Appearing emotionally immature
Correct Answer: A
Rationale: The correct answer is A because the teen is expressing a fear of losing control over her emotions if she starts crying. This is evident from her belief that she will never stop crying once she starts. Option B (Losing the support of her friends and family) is incorrect as the statement does not suggest concern about losing support. Option C (Embarrassing herself by crying in public) is incorrect as the fear expressed is more about not being able to stop crying rather than embarrassment. Option D (Appearing emotionally immature) is incorrect as there is no indication that the teen is worried about how others perceive her emotional maturity.
What is the priority nursing diagnosis for a catatonic patient?
- A. Ineffective coping
- B. Impaired physical mobility
- C. Risk for deficient fluid volume
- D. Impaired social interaction
Correct Answer: C
Rationale: The priority nursing diagnosis for a catatonic patient is Risk for deficient fluid volume (C) because catatonic patients are at risk for dehydration due to decreased fluid intake or inability to meet fluid needs. This diagnosis takes precedence over others as dehydration can lead to serious complications. Ineffective coping (A) may be secondary to the catatonic state but addressing fluid volume is more urgent. Impaired physical mobility (B) and Impaired social interaction (D) are important but not as critical as addressing the risk of dehydration in a catatonic patient.