Questions (50 Q study with rationale)
A 22-year-vintage purchaser is admitted to the psychiatric unit from the scientific unit following a
suicide strive with an overdose of diazepam (Valium). Which intervention could be maximum
critical for the nurse to consist of in this purchaser's nursing care plan? A.Assist consumer to
focus on personal strengths.
B. Limit remarks that denigrate oneself. C. Remind the customer of the environment's every
day sports. D.Assist the patron to identify why she or he turned into self-unfavorable. -
ANS-ANS: A
Encouraging the consumer to focus on his or her strengths (A) facilitates the client turn out to
be privy to high quality traits, assists in enhancing self-image, and aids in coping with past and
gift situations. Although nursing interventions have to assist the purchaser lessen self-defeating
remarks (B) and tell the customer of (C), they're no longer presently priorities. (D) is not as
critical as assisting the client recover from the depression that brought about the overdose, and
asking "why" is not an amazing healing strategy. The customer, who's 25 years vintage, has
been especially agitated, and the nurse discovers that the customer is attempting to leave the
psychiatric unit. The patient begs the nurse to launch him or her. The secret police are after me,
so I need to depart. Which reaction is maximum suitable for the nurse? A." You are not being
pursued. You're safe here."
B." After you get a few sleep, you may experience better. C." I realize you need to feel lonely
and apprehensive."
D." Come with me in your room, and I will sit down with you." - ANS-ANS: D
The nice reaction is (D), which affords help with out making needs or judging. (A) is attempting
to dispel the consumer's phantasm. (B) is imparting inaccurate guarantee. (C) violates
therapeutic communique because the nurse is describing the customer's emotions—which
includes fear and loneliness—instead of permitting the patron to express them. Hallucinating
and delusional customers are not able to discussing their emotions, mainly after they
understand a crisis.
A 25-12 months-old client has suffered widespread burns and is crying during dressing change
treatment. The patron requests that the nurse permit her or him to die. Why are you all torturing
me like this? All I want to do is die." Which nurse reaction is the nice? A." You are not being
abused through us. These treatments are vital to prevent a terrible contamination."
B." We want to help you get better, and I recognise that those treatments have to appear to be
torture to you." C." Your cherished ones all need you to stay due to the fact you have a lot to
offer." D." Would you like me to call the chaplain so that you can speak privately about your
emotions? (B) responds with empathy without being condescending. (A) isn't always empathetic
and is really particularly argumentative. The patron isn't always requesting data as plenty as