Which assessment question regarding a patient's report of pain demonstrates the nurse's attention to the principles of holistic nursing care?

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Question 1 of 5

Which assessment question regarding a patient's report of pain demonstrates the nurse's attention to the principles of holistic nursing care?

Correct Answer: D

Rationale: The correct answer is D because it addresses the patient's physical, emotional, and social well-being, aligning with holistic nursing care principles. It shows the nurse's consideration of the pain's impact on the patient's daily life. Options A, B, and C focus on specific aspects but do not encompass the holistic approach. Option A focuses only on the pain's timeline, option B on herbal supplements, and option C on familial history, neglecting the patient's overall well-being.

Question 2 of 5

On an inpatient psychiatric unit, the goals of therapy have been met, but the client cries and states,"I have to keep coming back to therapy to handle my anger better." This interaction occurs in which phase of the nurse-client relationship?

Correct Answer: D

Rationale: The correct answer is D: Termination phase. In this phase, the goals of therapy have been met, and the client is reflecting on their progress and expressing their feelings about ending therapy. The client's statement about needing to keep coming back indicates that they are aware of the progress made and are preparing to end the therapeutic relationship. A: Pre-interaction phase occurs before the nurse-client relationship is established. B: Orientation phase is when the nurse and client establish rapport and set goals. C: Working phase is when the therapeutic work is being done to achieve goals. Therefore, the client's statement falls in the Termination phase as they are acknowledging the progress made and preparing to end therapy.

Question 3 of 5

The nurse is caring for a client diagnosed with a delusional disorder. While assessing this client, which of the following would the nurse expect to find?

Correct Answer: D

Rationale: The correct answer is D because individuals with delusional disorder typically live with one or more fixed delusions for an extended period. This is a key characteristic of the disorder. Choice A is incorrect as it describes a separate condition (major depression). Choice B is incorrect as disruptive behavior patterns are not a defining feature of delusional disorder. Choice C is incorrect as delusions in this disorder are typically not bizarre but rather fixed and plausible to the individual.

Question 4 of 5

A nurse is working with a family in which the parents have just gotten divorced. After teaching the parents about measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional teaching?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Altering routines may disrupt stability and increase anxiety for children. 2. Children benefit from consistency post-divorce to provide a sense of security. 3. Acknowledging children are not to blame is crucial for their emotional well-being. 4. Developing a regular visitation schedule fosters predictability and comfort. 5. Consistent limits help establish boundaries and structure for children. Therefore, statement A indicates a need for additional teaching as it could potentially harm the children's emotional well-being by disrupting their routines.

Question 5 of 5

As part of a client's treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?

Correct Answer: D

Rationale: Rationale: Dialectical behavior therapy focuses on teaching clients skills to manage emotions, behavior, and thoughts effectively. Self-management skills involve regulating behavior in response to events, which aligns with the client's goal of controlling and changing behaviors. Emotion regulation skills focus on managing emotions, mindfulness skills involve being present in the moment, and distress tolerance skills focus on tolerating emotional distress. Therefore, self-management skills are the most appropriate choice in this scenario.

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