A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke break. Which of the following is most appropriate action for the nurse to take?
A. Allow her to grieve by herself.
B. Tell her go ahead and cry, after all your husband's pretty bad off.
C. Tell her you realize how upset she is, but you don't want to talk about it now.
D. Approach her, offering tissues and encourage her to verbalize her feelings.
If your patient is acutely psychotic, which of the following independent nursing interventions would not be appropriate?
A. Conveying calmness with one on one interaction.
B. Recognizing and dealing with your own feelings to prevent escalation of the patient's anxiety level.
C. Encourage client participation in group therapy.
D. Listen and identify causes of their behavior.
A two-year old has been in the hospital for 3 weeks and seldom seen family members due to isolation precautions.
Which of the following hospitalization changes is most like to be occurring?
A. Guilt
B. Trust
C. Separation anxiety
D. Shame
A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?
A. Check with case manager on duty about possible police intervention.
B. Provide an environment of concern and emotional stabilization.
C. Clean the patient's wounds with normal saline and gauze.
D. Recommend a good attorney to the patient.
A 14-year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members.
What should the nurse first response be?
A. Create an atmosphere of seclusion for the boy according to procedures.
B. Remove other patients from the area via wheelchairs for added speed.
C. Ask the patient, "What is making you mad?"
D. Ask the patient, "Why are you doing this, have you thought about what your parents might say?"
A 22-year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged.
Which of the following is probably happening?
A. The patient is excited about being around family again.
B. The patient's suicide plan has probably progressed.
C. The patient's plans for the future have been clarified.
D. The patient's mood is improving.
A nurse is covering a pediatric unit and is responsible for a 15-year-old male patient on the floor. The mother of the child states, "I think my son is sexually interested in girls."
The most appropriate course of action of the nurse is to respond by stating ___________.
A. "I will talk to the doctor about it."
B. "Has this been going on for a while?"
C. "How do you know this?"
D. "Teenagers often exhibit signs of sexual interest in females."
Which of these is not a focus when attempting to orient a disoriented and confused patient to reality?
A. the last meal the patient ate
B. the patient's current location
C. the current day or time
D. the patient's identity
Which of these is not a stage of group therapy development?
A. termination stage
B. discovery stage
C. working stage
D. initial stage
Which of the following is least likely to be an underlying reason for elder abuse or neglect?
A. medication side effects
B. caregiver strain
C. financial problems
D. dependent elder in need of assistance
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