Documentation in a patient's chart shows, 'Through

Question 1 of 5

Documentation in a patient's chart shows, 'Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, 'I enjoy spending time with you.' Which analysis is most accurate?

A. The patient is giving positive feedback about the nurse's communication techniques. B. The nurse is viewing the patient's behavior through a cultural filter. C. The patient's verbal and nonverbal messages are incongruent. D. The patient is demonstrating psychotic behaviors.

Correct Answer: C

Rationale: When a verbal message is not reinforced with nonverbal behavior, the message is confusing and incongruent. It is inaccurate to say that the patient is giving positive feedback about the nurse's communication techniques. The concept of a cultural filter is not relevant to the situation because a cultural filter determines what we will pay attention to and what we will ignore. Data are insufficient to draw the conclusion that the patient is demonstrating psychotic behaviors.

Question 2 of 5

A nurse is assessing a patient diagnosed with bulimia nervosa. The patient states, 'I feel so ashamed after I eat.' What is the priority nursing intervention?

A. Provide the patient with positive affirmations to improve body image. B. Encourage the patient to engage in self-care activities to improve self-esteem. C. Offer the patient nonjudgmental support and explore feelings of shame about eating. D. Tell the patient that shame is not helpful and focus on the need for balanced nutrition.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient states, 'I'm going to buy a new car and take a trip to Paris.' Which of the following is the priority nursing intervention?

A. Encourage the patient to think through the consequences of their actions. B. Limit the patient's access to money and credit cards. C. Provide the patient with information about budgeting and planning. D. Encourage the patient to express their excitement about their plans.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A nurse is caring for a patient diagnosed with anorexia nervosa. The patient states, 'I don't need to eat. I feel fine.' What is the priority nursing intervention?

A. Encourage the patient to eat small, frequent meals to restore nutrition. B. Provide the patient with a structured meal plan and monitor their eating behaviors. C. Allow the patient to make their own decisions about food intake. D. Reassure the patient that their feelings of hunger will return once they begin eating.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A Filipino American patient had a nursing diagnosis of situational low self-esteem related to poor social skills as evidenced by lack of eye contact. Interventions were applied to increase the patient's self-esteem but after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario?

A. The patient's eye contact should have been directly addressed by role playing to increase comfort with eye contact. B. The nurse should not have independently embarked on assessment, diagnosis, and planning for this patient. C. The patient's poor eye contact is indicative of anger and hostility that were unaddressed. D. The nurse should have assessed the patient's culture before making this diagnosis and plan.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Documentation in a patient's chart shows, 'Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, 'I enjoy spending time with you.' Which analysis is most accurate?

Nurselytic

ATI RN

ATI RN

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