A depressed patient who is scheduled to receive electroconvulsive therapy this morning asks the nurse, "How is this treatment supposed to help me?" The best reply would be: "Electroconvulsive therapy seems to ____________."
a. increase the activity of brain chemicals involved in mood
b. interfere with one's memory of why he's feeling depressed
c. serve as a punishment so you can stop punishing yourself
d. open your mind to learning and trying new ways of coping
A
ECT seems to alter neurotransmitter activity, consistent with the biochemical theory of the cause of depression. The other options distort information from other etiological theories and are not supported by research on the mechanism of action of electroconvulsive therapy.
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Although the patient denies pain, the nurse observes the patient breathing rapidly with clenched fists and facial grimacing. What is the nurse's best response to these observations?
a. "I am glad you are feeling better and have no discomfort." b. "Where do you hurt?" c. "What you are saying and what I am observing don't seem to match." d. "It makes me uncomfortable when you are not honest with me."
You are caring for 35-year-old man who tells you that he feels distress about being a male, and ever since he was a young child has thought of himself as a female
He describes the isolation he feels and concern about fitting in socially and at work because of these recurrent thoughts. How would you respond to your patient? 1) Provide information about support groups and other community resources for transsexual people. 2) Reassure him that he is normal, saying there are more people than we know who feel this way. 3) Share with him that you personally have had thoughts like this but have coped with these thoughts. 4) Suggest your patient seeks mental health care for medication to help him deal with his anxiety.
The critical care nurse is monitoring her patient's urine output and drainage from tubes inserted intraoperatively. What would the nurse promptly report to the physician?
A) Increased pain on movement B) Absent drainage C) Increased urine output D) Blood-tinged serosanguineous drainage
What is the best time of day to do a urinalysis sample?
a. mid-morning b. before bed c. after breakfast d. first thing in the morning.