The nurse caring is discussing different options for therapy with a patient who has been diagnosed with bipolar disorder. The nurse will explain that which is characteristic of interpersonal psychotherapy?
1. Improving communication
2. Motivating through planning
3. Gaining an understanding of self
4. Providing support and feedback to peers
Answer: 1
Explanation: Interpersonal psychotherapy focuses on the patient's current relationships and interpersonal events in order to improve communication, express appropriate affect, and renegotiate relationship roles. Motivating through planning is a characteristic of cognitive-behavioral therapy. Gaining an understanding of self and self-awareness of one's behavior is a characteristic of cognitive-behavioral therapy. Providing support and feedback to peers is indicative of group therapy.
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A nurse cares for a client who had a wrist cast applied 3 days ago. The client states, "The cast is loose enough to slide off." How should the nurse respond?
a. "Keep your arm above the level of your heart." b. "As your muscles atrophy, the cast is expected to loosen." c. "I will wrap a bandage around the cast to prevent it from slipping." d. "You need a new cast now that the swelling is decreased."
The nurse is instructing an older client about medication management. What information should the nurse include? Select all that apply.
1. Obtain all of your medications from the same pharmacy. 2. Request that medications be placed in childproof packages and caps. 3. Develop a method for remembering if medications have been taken, such as moving it to a different place. 4. Schedule medications at mealtimes or in conjunction with other specific activities unless contraindicated. 5. Establish a routine for taking medications, such as preparing medication for each day in different containers.
A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:
a. "Most insurance companies will pay for chiropractic treatment." b. "Because chiropractors are not licensed in any state, all services must be paid for by the patient." c. "Chiropractic medicine is a new CAM therapy that has not yet been recognized by insurance companies." d. "Chiropractic medicine is more than 100 years old, but because it is preventive in nature, it is not covered by most insurance."
A nurse is caring for an elderly client. During the nursing assessment, what sign of stress
should the nurse watch for in the aging client? A) Elevated blood pressure B) Urinary retention C) Attention to minute details D) Bradycardia