Nokea
Which therapeutic communication technique involves restating the patient's message to ensure understanding?
- A. Clarification
- B. Reflection
- C. Summarization
- D. Paraphrasing
Correct Answer: D
Rationale: Paraphrasing is the correct therapeutic communication technique where the nurse restates the patient's message in their own words to confirm understanding. This technique helps in validating the patient's feelings and ensuring that both parties are in agreement, leading to effective communication and rapport building. Choice A, 'Clarification,' involves seeking further information to enhance understanding rather than restating the message. Choice B, 'Reflection,' involves echoing the patient's feelings to show empathy rather than restating the message. Choice C, 'Summarization,' involves condensing the main points of a conversation rather than restating a specific message.
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Which nursing response provides accurate information to discuss with the female patient diagnosed with bipolar disorder and her support system?
- A. Remember that alcohol and caffeine can trigger a relapse of your symptoms.
- B. Antidepressant therapy should be carefully monitored due to the risk of a manic episode in bipolar disorder.
- C. It's crucial to inform your healthcare provider promptly if you experience sleep disturbances.
- D. Are your family members prepared to play an active role in helping manage this disorder?
Correct Answer: A
Rationale: Choice A is the correct answer as it emphasizes the importance of avoiding triggers like alcohol and caffeine that can lead to symptom relapse in patients with bipolar disorder. Educating the patient and their support system about these triggers is essential for managing the condition effectively and preventing exacerbations of symptoms. Choice B is incorrect as it overly focuses on antidepressant therapy, which is not the primary concern related to triggers for symptom relapse. Choice C, while important, does not directly address triggers for symptom relapse in bipolar disorder. Choice D is also relevant but does not provide immediate information on managing triggers for symptom relapse.
What intervention should the nurse implement when caring for a patient demonstrating manic behavior?
- A. Monitor the patient's vital signs frequently.
- B. Engage the patient in calming activities.
- C. Offer the patient a quiet environment for relaxation.
- D. Reduce environmental stimuli and create a calm atmosphere.
Correct Answer: D
Rationale: When caring for a patient demonstrating manic behavior, the nurse should implement the intervention of reducing environmental stimuli and creating a calm atmosphere. This approach is crucial in managing manic behavior as it helps decrease triggers that may worsen the patient's symptoms. Engaging the patient in calming activities (Choice B) may not be effective during a manic episode as the patient may have difficulty focusing. While offering a quiet environment for relaxation (Choice C) is beneficial, it may not be sufficient to address the heightened stimulation experienced during mania. Monitoring the patient's vital signs frequently (Choice A) is important in general patient care but may not directly address the specific needs of a patient exhibiting manic behavior.
What must be considered when preparing the teaching plan for a patient diagnosed with bipolar disorder who is being prescribed lithium therapy?
- A. Caffeine and alcohol can affect lithium levels.
- B. Lithium should be taken with meals to avoid gastrointestinal distress.
- C. Regular blood tests are required to monitor lithium levels.
- D. Lithium can cause weight gain.
Correct Answer: C
Rationale: When preparing a teaching plan for a patient prescribed lithium therapy for bipolar disorder, it is crucial to emphasize the need for regular blood tests to monitor lithium levels. Monitoring levels is essential to ensure the drug's effectiveness and to manage potential side effects. While factors like caffeine and alcohol intake, taking lithium with meals, and the risk of weight gain may be relevant considerations, the primary focus should be on the necessity of regular blood tests for effective management of lithium therapy. Therefore, option C is the correct choice as it addresses a critical aspect of lithium therapy management.
A healthcare provider is educating a patient about the side effects of selective serotonin reuptake inhibitors (SSRIs). Which side effect should the provider emphasize?
- A. Weight gain
- B. Increased libido
- C. Nausea
- D. Insomnia
Correct Answer: C
Rationale: When educating patients about SSRIs, it is crucial to emphasize the common side effect of nausea. Nausea is a frequently reported side effect of SSRIs that can impact adherence to treatment. By highlighting this side effect, patients can be better prepared and informed about what to expect when taking these medications. Choices A, B, and D are incorrect as weight gain, increased libido, and insomnia are not typically associated with SSRIs as common side effects. Nausea is a more relevant and prevalent side effect to address with patients.
A patient with bipolar disorder is being educated by a nurse on the importance of medication adherence. Which statement by the patient indicates understanding?
- A. I will take my medication only when I feel manic symptoms.
- B. I understand that I need to take my medication regularly, even if I feel well.
- C. I will stop taking my medication if I experience side effects.
- D. I will take my medication whenever I remember.
Correct Answer: B
Rationale: The correct answer is B. Taking medication regularly, even when feeling well, is crucial in managing bipolar disorder. Choice A is incorrect because medication adherence should not be based on symptoms alone. Choice C is incorrect as stopping medication due to side effects should be discussed with a healthcare provider. Choice D is incorrect because relying on memory may lead to missed doses, impacting treatment effectiveness.