The nurse is working on the inclusion of therapeutic humor in interactions with a chroni-cally ill schizophrenic patient who was hospitalized after an attempted suicide. Which outcomes are realistic expectations for this patient? Select all that apply
a. Improved cognition
b. Decreased interest in self-harm
c. Increased ability to experience pleasure
d. Decrease in the expression of fear and anxiety
e. Appropriate expression of emotions through affect
ANS: B, C, D, E
In two studies, researchers found that humor-based group activities provided to patients with chronic schizophrenia showed that they had a significant reduction in negative symptoms, self-injury, self-reported anger, anxiety, and depression. Although the results may be prelim-inary, they suggest that humor-based interventions may be beneficial for patients with chron-ic mental illness. There is no supporting evidence that cognitive abilities improve with the in-troduction of therapeutic humor.
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The nurse is anticipating the health care provider's arrival to insert a peritoneal dialysis catheter into the client. In addition to gathering the required equipment, which action by the nurse is the most appropriate?
1. Explaining the need for peritoneal dialysis to the client and family 2. Administering the pre-procedure sedation 3. Ordering the required dialysate 4. Determining that a signed consent has been obtained
A patient who has sustained a basal skull fracture is admitted to the neurological unit. The nurse should know that the patient should be observed for:
A) An area of bruising over the mastoid bone B) Bleeding from the ears C) An increase in pulse D) Difficulty sleeping
At the end of a busy clinical day a staff nurse asks the instructor if a student would like to administer a Z-track injected medication. This is a skill that the students have not yet been exposed to yet
What should the instructor respond to the staff nurse that supports timing and learning environment? 1. "It will take me a moment to explain the procedure to the students because we've not practiced this, but I'll find somebody to administer it." 2. "Would it be OK if the students observed today? Then, we'll do it next time we're here." 3. "We're leaving now, but thanks for asking." 4. "I'll check with the students and see if one of them would like to volunteer."
A client has continual problematic relationships and rejects others before possibly being rejected. The client states, "I am afraid of failing in my job responsibilities." Which correctly written nursing diagnosis should be prioritized for this client?
A. Poor self-esteem R/T negative self-image AEB fear of failure B. Altered thought processes R/T anxiety AEB delusions C. Role confusion R/T rejection and poor job productivity D. High risk for violence: self-directed R/T rejection of others