Exam 9: Working With an Individual Patient

A patient tells the nurse, "I was raped a month ago.Since then I've felt anxious and have been unable to talk normally to my husband.I've had frequent thoughts about cutting my wrists." What is the priority nursing concern regarding this patient?

A psychiatric aide asks, "Can you give me some examples of how we provide structure for patients?" The nurse should offer which suggestions? (Select all that apply.)

A novice nurse says, "I have more important things to do than play games with patients.These activities are not a worthwhile use of my time." What is the nurse manager's most helpful response?

A patient tells the nurse, "I want to have sex with you." Which nursing responses are appropriate? (Select all that apply.)

A nurse plans to teach a group of patients the basics of the change process.How should the elements be sequenced for the presentation? (Select all that apply.)

The nurse caring for a hyperactive patient should identify what assessment as being the priority?

Which nursing intervention will initially be most helpful for trust building with a suspicious patient?

As the nurse plans care for a newly admitted patient, identification of dysfunctional behaviors will provide the focus for which component of the nursing process?

What is a realistic time frame for achievement of short-term goals for a patient who is newly admitted to the hospital?

Objective data obtained from family in an initial assessment of a patient are of particular value when which situation exists?

A psychotic patient tells the nurse, "Get away from me or I'll hit you.You're sucking the thoughts out of my head." To best de-escalate the situation, what intervention should the nurse implement?

When the nurse formulates nursing diagnoses, it is necessary to be specific in describing dysfunctional behaviors so as to demonstrate what desired outcome?

A patient with suicidal ideation is hospitalized.What is the priority intervention?

What statement made by a nursing is most helpful when moving into the working stage of a therapeutic relationship with a patient?

What activity would be involved in achieving an appropriate short-term goal for a patient diagnosed with situational low self-esteem?

A patient is withdrawn and avoids talking to the nurse.The nurse should identify which action is the initial intervention for this patient?

A newly admitted patient tells the nurse, "The voices are bothering me." What should be the nurse's initial intervention?

A nurse considers interventions for a diabetic patient who needs to change eating habits and lose weight.The nurse will base strategies on which principle?

Which statement by a patient would the nurse interpret as willingness to collaborate in the nurse-patient relationship?

A patient playing pool with another patient throws down the pool cue and begins swearing.What action should the nurse implement initially to address this situation?