A nurse is working with a patient with depression. To best help the patient translate insight into action, a major nursing challenge will be to:
a. promote self-care activities.
b. consult appropriate resources.
c. build adequate incentives to change.
d. identify ineffective behavior patterns.
C
Building adequate incentives to change is critical to translating insight into action. The nurse should help the patient see the consequences of each action and help the patient understand that old patterns do more harm than good. The patient will not learn new patterns until the motivation to acquire them is greater than the motivation to retain the old ones.
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The nurse is assessing a child who has autism. Which of the following behaviors would the nurse most likely find in the assessment?
a. solitary play, repeated seemingly meaningless activities, bizarre body movements, obsessive about physical environment, and little speech b. quietly engaged in parallel play with others, hugging everyone at times, and getting excited about seeing familiar people c. hallucinations, hearing voices, hurting others, and tearing up toys d. showing a wide range of emotions, labile, and aggressive
A healthcare professional is caring for a patient diagnosed with aphasia. What action by the professional would be best in working with this patient?
a. Provide physical therapy. b. Provide speech therapy. c. Provide special thickened foods. d. Provide balance activities.
A new mother asks the nurse, "What are those small white spots on my baby's nose?" Which response by the nurse would be most appropriate?
A) "Those are small glands that look like whiteheads but will disappear soon." B) "The white spots are lesions containing pus and indicate a skin infection." C) "Newborns retain sweat, which causes the white bumps on the skin." D) "Often newborns have a rash, which fades in a few days."
The wife of a client recently diagnosed with a mood disorder calls the nurse therapist to report a change in her husband's mood. She states, "He is clearly in a better mood than usual
I would say he seems mildly elated. He's functioning fine at work and home. He's energetic, up and doing things at 5:00 AM, and really confident in himself again. It seems fantastic, but unusual. Is this something to worry about?" Which of the following potential responses by the nurse is most appropriate to this situation? A) "It sounds as though the antidepressants are working well. Just ask him if he is experiencing any side effects and let me know." B) "I'm concerned. Sometimes depressed people seem contented when they have decided to commit suicide. Let's schedule an appointment for tomorrow." C) "Since he is eating, sleeping, and not behaving inappropriately, there's nothing to worry about. Just let me know if he starts getting irritable or has trouble sleeping." D) "He sounds hypomanic. Let's schedule an appointment for this week for an evaluation. He may need additional or different medication."