verified answers
A patient tells the nurse they are hearing voices telling them to hurt
themself . Which response by the nurse would be presenting reality ?
" Give an example of what the voices are saying to you . "
" When did you first begin hearing the voices talk to you ? "
" Can you tell me why you think the voices are talking to you ? "
" I know you think the voices are real , but I do not hear them . "
Ans✓✓✓ know you think the voices are real , but I do not hear them . "
Rationale
The response , " I know you think the voices are real , but I do not hear
them , " acknowledges what the patient hears but presents really that
the voices are not there . When the nurse asks the patient to give an
example of the voices , this is seeking clarification . Asking when the
voices began is obtaining more information . Asking a why question is
not a therapeutic communication technique
During the assessment process , which patient cue would reflect
conflicting verbal and nonverbal communication ?
,Admitted for bipolar disorder and is laughing and joking with nursing
staff
Reported no difficulty with sexual activity but looks away when
answering
Maintained eye contact when discussing noncompliance with diabetic
regimen
Stated pain level 8/10 with an increase in heart rate , blood pressure ,
and respirations Ans✓✓✓ Reported no difficulty with sexual activity
but looks away when answering
Rationale
The patient who reports no difficulty with sexual functioning to the
nurse but looks away is demonstrating conflicting verbal and nonverbal
communication as the patient states one thing but looks away . A
patient admitted with bipolar disorder would be manic and could laugh
and joke with staff . The patient who maintains eye contact when
discussing health demonstrates corresponding verbal and nonverbal
communication . A patient who reports a high pain level and presents
with symptoms of pain would reflect congruent verbal and nonverbal
communication . p . 93
,How should the nurse respond to a patient with a severe mental illness
who requests financial assistance to start a small business ?
Contact the support groups we have told you about . "
" I will give you the contact number of a friend who will help you .
" Let your illness be treated first , then you can start your business . "
Sorry , but I can't give any financial assistance . It is against hospital
rules . " Ans✓✓✓ Contact the support groups we have told you about .
"
Rationale
The nurse should help the patient develop resources by providing
information on support groups This helps increase the patient's
strengths and self - esteem . The nurse should not provide direct help
to the patient by contacting their friends for financial assistance . The
nurse should encourage patients to act on their own ; this enhances
patients ' problem - solving abilities . The nurse should not discourage
the patient by saying that the patient should be treated for the illness
first ; this can make the patient feel depressed and helpless . Saying
that providing financial help is against hospital rules may be true , but it
would not provide a solution . 115
, In which instance would a patient benefit from telehealth services
Select all that apply .
One , some , or all responses may be correct .
Bedridden patient
Annual physical examination
Patient with suicidal ideations
Health care needs during a pandemic .
Closest health care provider 50+ miles away Ans✓✓✓ Bedridden
patient
Health care needs during a pandemic
Closest health care provider 50+ miles away
Rationale
Telehealth is beneficial for a patient who is unable to come to the office
such as a patient who is bedridden . Telehealth became a popular form