Anxiety, Depression, PTSD, substance
abuse Saunders NCLEX 68, 69, 72
852. A patron with a prognosis of despair who has tried suicide says to the
nurse, "I have to have died. I've constantly been a failure. Nothing ever goes proper for
me." Which response by the nurse demonstrates therapeutic communique?
1. "You have the entirety to live for."
2. "Why do you notice your self as a failure?"
three. "Feeling like this is all a part of being depressed."
four. "You've been feeling like a failure for a while?" - ANS-four. "You've been feeling like a
failure for some time?"
Rationale: Responding to the emotions expressed with the aid of a purchaser is an effective
healing conversation approach. The correct choice is an example of the use
of restating. The last alternatives block communique because they limit
the consumer's experience and do not facilitate exploration of the consumer's expressed
emotions. In addition, use of the word why is nontherapeutic.
853. The nurse visits a client at home. The purchaser states, "I haven't slept at all the closing
couple of nights." Which response by using the nurse demonstrates healing
communication?
1. "I see."
2. "Really?"
3. "You're having difficulty dozing?"
four. "Sometimes I have problem napping too." - ANS-three. "You're having difficulty sound
asleep?"
Rationale: The accurate option uses the therapeutic communication method of
restatement. Although restatement is a way that has a prompting issue
to it, it repeats the patron's most important topic, which assists the nurse to obtain a greater
precise perception of the hassle from the purchaser. The last alternatives aren't
healing responses given that none encourages the purchaser to make bigger on the problem.
Offering non-public reports movements the focus away from the purchaser and onto the
nurse.
854. A customer experiencing disturbed concept methods believes that his food is
being poisoned. Which communication technique have to the nurse use to
inspire the client to consume?
1. Using open-ended questions and silence
2. Sharing private choice regarding meals choices
3. Documenting motives why the purchaser does not want to eat
,4. Offering evaluations about the need of good enough nutrients - ANS-1. Using open-ended
questions and silence
Rationale: Open-ended questions and silence are techniques used to inspire
customers to discuss their troubles. Sharing private food preferences isn't always a
customer-targeted intervention. The ultimate options aren't beneficial to the customer
because they do not inspire the purchaser to explicit feelings. The nurse should not
provide evaluations and need to encourage the client to pick out the motives for the
conduct.
855. The nurse have to plan which goals of the termination level of organization
development? Select all that practice.
1. The institution evaluates the revel in.
2. The actual work of the group is achieved.
Three. Group interaction involves superficial verbal exchange.
4. Group individuals come to be familiar with one another.
5. Some structuring of organization norms, roles, and duties takes vicinity.
6. The institution explores individuals' feelings about the group and the impending
separation. - ANS-1. The organization evaluates the revel in.
6. The organization explores members' feelings approximately the group and the upcoming
separation.
Rationale: The tiers of group improvement include the initial stage, the running
level, and the termination level. During the preliminary stage, the group contributors
come to be familiar with one another, and a few structuring of institution norms,
roles, and responsibilities takes area. During the preliminary level, group interaction
entails superficial communication. During the working stage, the actual paintings of the
group is performed. During the termination level, the institution evaluates the
experience and explores individuals' feelings approximately the group and the approaching
separation.
856. A client diagnosed with terminal cancer says to the nurse, "I'm going to die,
and I want my circle of relatives might prevent hoping for a cure! I get so angry once they
keep on like this. After all, I'm the only who is demise." Which response by the
nurse is healing?
1. "Have you shared your emotions together with your family?"
2. "I think we have to speak extra about your anger along with your circle of relatives."
3. "You're feeling indignant that your family continues to wish in order to be cured?"
four. "You are likely very depressed, which is understandable with this kind of
diagnosis." - ANS-3. "You're feeling indignant that your family maintains to hope which will be
cured?"
Rationale: Restating is a therapeutic communication technique in which the nurse
repeats what the patron says to reveal expertise and to check what was stated.
While it's miles suitable for the nurse to try to assess the patron's capability to
speak feelings brazenly with family individuals, it does now not help the consumer to discuss
, the feelings inflicting the anger. The nurse's direct try and expect the patron to
communicate more approximately the anger is untimely. The nurse might never make a
judgment
regarding the purpose for the customer's feeling; this is nontherapeutic in the one-toone
courting.
857. On overview of the consumer's document, the nurse notes that the admission become
voluntary. Based on this information, the nurse plans care looking forward to which
purchaser behavior?
1. Fearfulness concerning treatment measures
2. Anger and aggressiveness directed towards others
3. An know-how of the pathology and symptoms of the diagnosis
four. A willingness to participate within the making plans of the care and treatment plan -
ANS-four. A willingness to take part inside the planning of the care and remedy plan
Rationale: In trendy, customers are seeking for voluntary admission. If a customer seeks
voluntary
admission, the most probably expectation is that the client will participate inside the
remedy program in view that he or she is actively seeking assist. The ultimate
alternatives aren't traits of this form of admission. Fearfulness, anger, and
aggressiveness are greater function of an involuntary admission. Voluntary
admission does not assure that a client is familiar with his or her contamination, only the
patron's choice for assist.
858. A purchaser admitted voluntarily for treatment of an anxiety sickness needs to be
launched from the sanatorium. Which action have to the nurse take initially?
1. Contact the purchaser's health care company (HCP).
2. Call the consumer's circle of relatives to arrange for transportation.
Three. Attempt to influence the client to live "for only some extra days."
four. Tell the consumer that leaving would possibly bring about an involuntary commitment. -
ANS-1. Contact the purchaser's fitness care provider (HCP).
Rationale: In standard, customers seek voluntary admission. Voluntary customers have the
right to call for and attain release. The nurse needs to be familiar with the kingdom
and facility policies and strategies. The initial nursing action is to contact the
HCP, who has the authority to talk about discharge with the consumer. While arranging
for safe transportation is appropriate, it is untimely in this case and need to
be finished handiest with the purchaser's permission. While it's miles appropriate to speak about
why
the customer feels the need to leave and the viable results of leaving against
clinical advice, attempting to get the client to conform to staying "for just a few
extra days" has little cost and will not likely achieve success. Many states require
that the purchaser post a written release note to the facility psychiatrist, who
reevaluates the patron's situation for viable conversion to involuntary fame if
essential, in step with standards hooked up via law. While that is a opportunity, it
need to now not be used as a hazard with the patron.
abuse Saunders NCLEX 68, 69, 72
852. A patron with a prognosis of despair who has tried suicide says to the
nurse, "I have to have died. I've constantly been a failure. Nothing ever goes proper for
me." Which response by the nurse demonstrates therapeutic communique?
1. "You have the entirety to live for."
2. "Why do you notice your self as a failure?"
three. "Feeling like this is all a part of being depressed."
four. "You've been feeling like a failure for a while?" - ANS-four. "You've been feeling like a
failure for some time?"
Rationale: Responding to the emotions expressed with the aid of a purchaser is an effective
healing conversation approach. The correct choice is an example of the use
of restating. The last alternatives block communique because they limit
the consumer's experience and do not facilitate exploration of the consumer's expressed
emotions. In addition, use of the word why is nontherapeutic.
853. The nurse visits a client at home. The purchaser states, "I haven't slept at all the closing
couple of nights." Which response by using the nurse demonstrates healing
communication?
1. "I see."
2. "Really?"
3. "You're having difficulty dozing?"
four. "Sometimes I have problem napping too." - ANS-three. "You're having difficulty sound
asleep?"
Rationale: The accurate option uses the therapeutic communication method of
restatement. Although restatement is a way that has a prompting issue
to it, it repeats the patron's most important topic, which assists the nurse to obtain a greater
precise perception of the hassle from the purchaser. The last alternatives aren't
healing responses given that none encourages the purchaser to make bigger on the problem.
Offering non-public reports movements the focus away from the purchaser and onto the
nurse.
854. A customer experiencing disturbed concept methods believes that his food is
being poisoned. Which communication technique have to the nurse use to
inspire the client to consume?
1. Using open-ended questions and silence
2. Sharing private choice regarding meals choices
3. Documenting motives why the purchaser does not want to eat
,4. Offering evaluations about the need of good enough nutrients - ANS-1. Using open-ended
questions and silence
Rationale: Open-ended questions and silence are techniques used to inspire
customers to discuss their troubles. Sharing private food preferences isn't always a
customer-targeted intervention. The ultimate options aren't beneficial to the customer
because they do not inspire the purchaser to explicit feelings. The nurse should not
provide evaluations and need to encourage the client to pick out the motives for the
conduct.
855. The nurse have to plan which goals of the termination level of organization
development? Select all that practice.
1. The institution evaluates the revel in.
2. The actual work of the group is achieved.
Three. Group interaction involves superficial verbal exchange.
4. Group individuals come to be familiar with one another.
5. Some structuring of organization norms, roles, and duties takes vicinity.
6. The institution explores individuals' feelings about the group and the impending
separation. - ANS-1. The organization evaluates the revel in.
6. The organization explores members' feelings approximately the group and the upcoming
separation.
Rationale: The tiers of group improvement include the initial stage, the running
level, and the termination level. During the preliminary stage, the group contributors
come to be familiar with one another, and a few structuring of institution norms,
roles, and responsibilities takes area. During the preliminary level, group interaction
entails superficial communication. During the working stage, the actual paintings of the
group is performed. During the termination level, the institution evaluates the
experience and explores individuals' feelings approximately the group and the approaching
separation.
856. A client diagnosed with terminal cancer says to the nurse, "I'm going to die,
and I want my circle of relatives might prevent hoping for a cure! I get so angry once they
keep on like this. After all, I'm the only who is demise." Which response by the
nurse is healing?
1. "Have you shared your emotions together with your family?"
2. "I think we have to speak extra about your anger along with your circle of relatives."
3. "You're feeling indignant that your family continues to wish in order to be cured?"
four. "You are likely very depressed, which is understandable with this kind of
diagnosis." - ANS-3. "You're feeling indignant that your family maintains to hope which will be
cured?"
Rationale: Restating is a therapeutic communication technique in which the nurse
repeats what the patron says to reveal expertise and to check what was stated.
While it's miles suitable for the nurse to try to assess the patron's capability to
speak feelings brazenly with family individuals, it does now not help the consumer to discuss
, the feelings inflicting the anger. The nurse's direct try and expect the patron to
communicate more approximately the anger is untimely. The nurse might never make a
judgment
regarding the purpose for the customer's feeling; this is nontherapeutic in the one-toone
courting.
857. On overview of the consumer's document, the nurse notes that the admission become
voluntary. Based on this information, the nurse plans care looking forward to which
purchaser behavior?
1. Fearfulness concerning treatment measures
2. Anger and aggressiveness directed towards others
3. An know-how of the pathology and symptoms of the diagnosis
four. A willingness to participate within the making plans of the care and treatment plan -
ANS-four. A willingness to take part inside the planning of the care and remedy plan
Rationale: In trendy, customers are seeking for voluntary admission. If a customer seeks
voluntary
admission, the most probably expectation is that the client will participate inside the
remedy program in view that he or she is actively seeking assist. The ultimate
alternatives aren't traits of this form of admission. Fearfulness, anger, and
aggressiveness are greater function of an involuntary admission. Voluntary
admission does not assure that a client is familiar with his or her contamination, only the
patron's choice for assist.
858. A purchaser admitted voluntarily for treatment of an anxiety sickness needs to be
launched from the sanatorium. Which action have to the nurse take initially?
1. Contact the purchaser's health care company (HCP).
2. Call the consumer's circle of relatives to arrange for transportation.
Three. Attempt to influence the client to live "for only some extra days."
four. Tell the consumer that leaving would possibly bring about an involuntary commitment. -
ANS-1. Contact the purchaser's fitness care provider (HCP).
Rationale: In standard, customers seek voluntary admission. Voluntary customers have the
right to call for and attain release. The nurse needs to be familiar with the kingdom
and facility policies and strategies. The initial nursing action is to contact the
HCP, who has the authority to talk about discharge with the consumer. While arranging
for safe transportation is appropriate, it is untimely in this case and need to
be finished handiest with the purchaser's permission. While it's miles appropriate to speak about
why
the customer feels the need to leave and the viable results of leaving against
clinical advice, attempting to get the client to conform to staying "for just a few
extra days" has little cost and will not likely achieve success. Many states require
that the purchaser post a written release note to the facility psychiatrist, who
reevaluates the patron's situation for viable conversion to involuntary fame if
essential, in step with standards hooked up via law. While that is a opportunity, it
need to now not be used as a hazard with the patron.
