An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent further escalation of the spouse's anger?

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Question 1 of 5

An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent further escalation of the spouse's anger?

Correct Answer: C

Rationale: The correct answer is C because providing updates and progress reports on the patient can help alleviate the spouse's anxiety and frustration. By keeping the spouse informed, the nurse can demonstrate empathy and respect for their concerns, maintaining open communication and building trust. Offering coffee (A) may be seen as dismissive, explaining the condition (B) may not address the spouse's emotional needs, and suggesting the spouse leave (D) could worsen the situation by alienating them from the patient's care.

Question 2 of 5

The nurse observes an older adult patient who has been taking antipsychotic medications for 8 months. The patient is smacking her lips and blinking her eyes rapidly. The nurse also observes a protruding tongue. Which action by the nurse would be most appropriate?

Correct Answer: C

Rationale: Rationale: C is correct because the patient is exhibiting symptoms of tardive dyskinesia, a side effect of long-term antipsychotic use. It is crucial for the nurse to document these symptoms accurately to inform the healthcare team. A: Asking about side effects is important but doesn't address the specific symptoms observed. B: Contacting the physician for a different medication order may be necessary, but documenting the symptoms first is crucial. D: Tapering off the medication should only be done under medical supervision and after proper assessment, not based solely on observed symptoms.

Question 3 of 5

The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?

Correct Answer: C

Rationale: The correct answer is C: Low self-concept. Due to the patient's family history of alcoholism, they may have experienced emotional neglect or instability, leading to low self-esteem and self-concept issues. This can manifest in various ways, such as seeking validation from others or struggling with self-worth. Delusions (A) and paranoid delusions (B) are not directly associated with a family history of alcoholism. Extroversion (D) is a personality trait and not necessarily linked to the patient's family background.

Question 4 of 5

The plan of care for a patient with anger includes behavioral interventions. Which of the following would the nurse be likely to find?

Correct Answer: B

Rationale: The correct answer is B: Anger management. This is because anger management techniques are specifically designed to help individuals recognize triggers, control emotions, and respond in more constructive ways. Self-monitoring of cues (A) involves identifying personal anger cues but does not necessarily address management strategies. Relaxation training (C) focuses on reducing stress, not specifically managing anger. Response disruption (D) involves interrupting negative behaviors but does not encompass the comprehensive strategies of anger management.

Question 5 of 5

A family member of a client diagnosed with schizoaffective disorder asks a nurse what causes the disorder. Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: The correct answer is B because research has shown a strong genetic component in the development of schizoaffective disorder. Genetic factors play a significant role in predisposing individuals to this condition. Studies have identified specific genetic markers and hereditary patterns associated with the disorder. This explanation is supported by scientific evidence and is widely accepted in the field of psychiatry. Choice A is incorrect because while family dynamics may influence the course of the disorder, it is not considered a direct cause. Choice C is incorrect as dopamine dysregulation is more commonly associated with schizophrenia, not schizoaffective disorder. Choice D is incorrect as birth order has not been identified as a significant factor in the development of schizoaffective disorder.

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