A patient with a history of anger and impulsivity was hospitalized after an accident resulting in multiple injuries. The patient loudly scolds nursing staff, 'I'm in pain all the time but you don't give me medicine until YOU think it's time.' Which nursing intervention would best address this problem?

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Question 1 of 5

A patient with a history of anger and impulsivity was hospitalized after an accident resulting in multiple injuries. The patient loudly scolds nursing staff, 'I'm in pain all the time but you don't give me medicine until YOU think it's time.' Which nursing intervention would best address this problem?

Correct Answer: B

Rationale: The correct answer is B because switching from prn (as-needed) pain medication to patient-controlled analgesia empowers the patient to manage their pain effectively, addressing the issue of feeling powerless and dependent on nursing staff for pain relief. This intervention also aligns with the patient's impulsivity and need for immediate gratification. Choice A is incorrect because teaching coping strategies may not address the immediate pain relief the patient desires. Choice C is incorrect as it focuses on addressing the behavior without addressing the underlying issue of pain management. Choice D is incorrect because it does not provide a solution to the immediate problem of pain control and may not be relevant to the patient's current behavior.

Question 2 of 5

During the stabilization phase of drug therapy for a patient who is hospitalized with a psychiatric disorder, which action would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because during the stabilization phase, assessing the patient for target symptoms and side effects is crucial to ensure the medication is working effectively without causing harm. This step allows healthcare providers to monitor the patient's progress, adjust the medication dosage if needed, and address any emerging side effects promptly. A: Discussing the timing of tapering the medication is premature during the stabilization phase as the focus should be on monitoring the patient's response to the current medication regimen. B: Instructing the patient about relapse prevention is important but more relevant during the maintenance phase rather than the stabilization phase. C: Determining if the medication is losing its effect can be part of the assessment but is not the most appropriate action during the stabilization phase where the primary focus is on monitoring symptoms and side effects.

Question 3 of 5

A 3-year-old child has been admitted to the hospital after an automobile accident. Which statement by the nurse would be most appropriate when discussing the type of behavior the parents can expect their child to display while hospitalized?

Correct Answer: B

Rationale: The correct answer is B: Your child may seem unduly anxious in the presence of strangers. This response is most appropriate as it aligns with the typical behavior of young children who have experienced a traumatic event like an automobile accident. Children at this age may exhibit increased anxiety and fear when around unfamiliar individuals due to the stress and uncertainty of their situation. This behavior is a common reaction to trauma. Choice A is incorrect because while changes in appearance may impact the child, it is not the most immediate concern in this scenario. Choice C is incorrect as guilt feelings are less likely to be prominent in a 3-year-old child. Choice D is also incorrect as mood swings are not the primary behavior expected in this situation, and the statement lacks specificity compared to the appropriate response.

Question 4 of 5

The nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the father's agitation. The nurse determines that the son has understood the nurse's instructions when he states which of the following?

Correct Answer: D

Rationale: The correct answer is D. Simplifying the home environment can reduce agitation in a person with dementia by minimizing distractions and confusion. This approach promotes a calm and safe environment for the father. Restraints (A) are not recommended as they can lead to physical and psychological harm. Placing the father in the bedroom (B) may cause feelings of isolation and worsen agitation. Taking him out shopping (C) may overstimulate and confuse him further, increasing agitation. Simplifying the home environment aligns with best practices for managing dementia-related agitation.

Question 5 of 5

A nursing instructor is preparing a class lecture about schizophrenia and outcomes focusing on recovery. Which of the following would the instructor include as a major goal?

Correct Answer: A

Rationale: The correct answer is A: Continuity of care. This is a major goal in the recovery process of schizophrenia as it emphasizes ongoing support and treatment beyond the acute phase. Continuity of care ensures consistent monitoring, medication management, therapy, and support services, which are essential for long-term recovery. Shorter in-patient stays (B) focus more on acute management rather than sustained recovery. Immediate crisis stabilization (C) is important but not the primary long-term goal. Social engagement (D) is beneficial but not as critical as continuity of care for sustained recovery.

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