An adult with depression was treated with medication and cognitive behavioral therapy. The patient now recognizes how passivity contributed to the depression. Which intervention should the nurse suggest?
a. Social skills training
b. Relaxation training classes
c. Use of complementary therapy
d. Learning desensitization techniques
ANS: A
Social skills training is helpful in treating and preventing the recurrence of depression. Training focuses on assertiveness and coping skills that lead to positive reinforcement from others and the development of a patient's support system. The use of complementary therapy refers to adjunctive therapies such as herbals. Assertiveness would be of greater value than relaxation training because passivity is a concern. Desensitization is used in the treatment of phobias.
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A 59-year-old man with type 2 diabetes is prescribed metformin. When the patient returns to the clinic, he reports that he has lost 8 pounds in a month. How should the nurse respond?
A) "We should really report this to your physician. The metformin dosage will need to be decreased." B) "We should really report this to your physician. He will likely change medications." C) "Please continue taking the medication and monitoring your weight. This is an expected outcome of this drug therapy." D) "You should discontinue this medication immediately. I will contact your physician."
A health care provider is evaluating the results of hematologic studies for a patient with cancer receiving busulfan (Myleran). Which of the following laboratory results would indicate that the patient is tolerating the drug?
a. Absolute neutrophil count (ANC) of 4500/mm3 b. Platelet count of 40,000/mm3 c. Blood urea nitrogen (BUN) of 18 mg/dL d. Hematocrit of 28 mg/dL
Which characteristic of individuals diagnosed with personality disorders in the dramatic-erratic cluster makes it advisable for staff to have frequent patient-centered meetings?
a. Manipulating others to avoid limits b. Behaving responsibly in the peer group c. Withdrawing from interactions with others d. Depending excessively on others for support
The intensive care unit nurse is preparing to assess the level of consciousness of a client who is intubated and has both hands restrained to prevent the client from pulling out the endotracheal tube. The client's injury occurred due to a stabbing incident that ultimately caused the client to fall and hit his head. Which item related to the client will cause the nurse to report an incomplete Glasgow Coma Score (GCS)?
A. The client is intubated. B. The client's hands are restrained. C. The client was stabbed. D. The client fell and hit his head.