After formulating the nursing diagnoses for a new patient, what is a nurse's next action?

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Question 1 of 5

After formulating the nursing diagnoses for a new patient, what is a nurse's next action?

Correct Answer: B

Rationale: The correct answer is B: Determining the goals and outcome criteria. After formulating nursing diagnoses, the nurse's next action should be to establish clear goals and outcome criteria to guide the plan of care. This step ensures that the interventions are focused on achieving specific outcomes for the patient's health. Designing interventions (choice A) comes after setting goals. Implementing the nursing plan of care (choice C) is done after determining goals and interventions. Completing the spiritual assessment (choice D) is important but typically not the immediate next step after formulating nursing diagnoses.

Question 2 of 5

A patient expresses a desire to be cared for by others and often behaves in a helpless fashion. Which stage of psychosexual development is most relevant to the patient's needs?

Correct Answer: D

Rationale: The correct answer is D: Oral. During the oral stage (0-1 year), individuals seek pleasure through the mouth, leading to dependency and a desire for nurturing. The patient's behavior of expressing helplessness and desire for care aligns with the oral stage's characteristics. The other choices are incorrect because: A) Latency stage (6-puberty) involves the suppression of sexual desires, B) Phallic stage (3-6 years) focuses on resolving Oedipus/Electra complex, and C) Anal stage (1-3 years) centers on control and independence related to toilet training.

Question 3 of 5

A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy?

Correct Answer: B

Rationale: The correct answer is B: Cognitive behavioral therapy. This type of therapy is commonly used in conjunction with pharmacologic therapy for bulimia nervosa. Cognitive behavioral therapy helps the client identify and change unhealthy thoughts and behaviors related to eating and body image. It also teaches coping strategies and techniques to manage triggers. Behavioral therapy (A) focuses on changing specific behaviors, while cognitive behavioral therapy (B) combines changing behaviors with addressing thoughts and emotions. Interpersonal therapy (C) focuses on improving relationships and communication skills, which may be beneficial but is not the primary treatment for bulimia nervosa. Family therapy (D) involves the client's family in the treatment process, which can be helpful but is not as directly focused on individual behavior change as cognitive behavioral therapy.

Question 4 of 5

The nurse is doing an assessment interview of a patient. During the interview, the patient comments, 'Our people are connected with nature. Our world, our seasons, and our weather—they all have many lessons to teach us.' The nurse interprets the patient's statement as an expression of which of the following?

Correct Answer: C

Rationale: The correct answer is C: Spirituality. The patient's statement reflects a deep connection to nature and the belief that nature holds valuable lessons. This aligns with the concept of spirituality, which involves seeking meaning and purpose in life beyond material possessions. The patient's emphasis on nature suggests a spiritual perspective that values interconnectedness and the wisdom of the natural world. Religiousness (A) typically refers to adherence to specific organized beliefs and practices. Tribal law (B) pertains to legal systems within specific cultural groups. Ecological values (D) focus more on environmental conservation and sustainability, rather than the spiritual or philosophical connection to nature expressed by the patient.

Question 5 of 5

What is the overall priority goal of inpatient psychiatric treatment?

Correct Answer: C

Rationale: The correct answer is C: Stabilization and return to the community. In inpatient psychiatric treatment, the main goal is to stabilize the patient's mental health condition and prepare them for a successful return to their community. This involves addressing acute symptoms, improving coping skills, and developing a discharge plan for ongoing support. Maintenance of stability in the community (A) is important but not the primary goal of inpatient treatment. Medication adherence (B) is a component of treatment but not the overarching goal. Better communication skills (D) may be a beneficial outcome but not the main priority in inpatient psychiatric treatment.

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