A patient being treated for severe depression shows resistance to involvement in the nurse-patient relationship by being withdrawn and unresponsive. There is also preoccupation with guilt and hopelessness
When interacting with the patient, which response would have the greatest therapeutic impact? a. "Everything will work out.".
b. "Let's explore the origins of your pessimism.".
c. "It's very likely that you will feel better as your treatment continues.".
d. "You have to help yourself by getting rid of your negative thoughts.".
C
Patients with depression need reassurance that their current pain and despair are not permanent. Nurses can convey a sense of hope that treatment will produce change, albeit slowly. Providing false reassurance that "everything will work out" is not therapeutic since the nurse cannot truly promise that outcome. The remaining options are negative and somewhat condescending.
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A patient emerges from general anesthesia screaming, shouting, and thrashing wildly. The nurse identifies this reaction as
a. emergence hallucination. c. emergence hyperactivity. b. normal. d. emergence delirium.
A patient is scheduled for CT scanning of the head because of a recent onset of neurologic deficits. What should the nurse tell the patient in preparation for this test?
A) "No metal objects can enter the procedure room." B) "You need to fast for 8 hours prior to the test." C) "You will need to lie still throughout the procedure." D) "There will be a lot of noise during the test."
A nursing preceptor is reviewing the nursing process during the first day together with his preceptee. The steps of assessment, diagnosis, planning, implementation, and evaluation are reviewed,
and the preceptor stresses that the process has the advantage of keeping nurses organized and provides structure for problem solving. While strengths were listed, what is one of the weaknesses of the nursing process that has been discussed in the literature? A) The nursing process is time efficient. B) The nursing process is inconsistent with real-world practice. C) The nursing process focuses on a client's strengths, not problems. D) The nursing process is controversial for beginning nursing practice.
Which of the following is an example of the mission of public health according to the Institute of Medicine?
a. Tracking avian flu outbreaks and doing surveillance in the United States b. Providing a flu shot for an elderly person at the health department c. Keeping track of alternative therapies in use in the United States d. Keeping snake antivenom at the Centers for Disease Control and Prevention in Atlanta