Which comment best indicates that a patient perceived the nurse was caring? "My nurse

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Question 1 of 5

Which comment best indicates that a patient perceived the nurse was caring? "My nurse

Correct Answer: C

Rationale: Step 1: Empathy and Support - Choice C demonstrates that the nurse spends time listening to the patient's problems, providing emotional support and empathy. Step 2: Connection and Comfort - By listening to the patient, the nurse helps the patient feel understood and less alone, creating a sense of connection and comfort. Step 3: Perceived Caring - This active listening and support indicate genuine care and concern for the patient's well-being, leading to the perception that the nurse is caring. Step 4: Summary - Choices A, B, and D focus on practical actions or information sharing, lacking the emotional depth and personal connection present in choice C. Thus, choice C best indicates that the patient perceived the nurse as caring.

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

A nurse has just transferred from a general psychiatric unit to work on a forensic psychiatric unit. The nurse finds it easier to communicate with these clients because, for the most part, their inappropriate behaviors and cognitive disorders have responded positively to treatment. One afternoon in December, a client asks the nurse for her address so he can send her a Christmas card. Which response by the nurse would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D: It is inappropriate for me to give you my address because our relationship is professional rather than social. Rationale: 1. Boundaries: As a nurse on a forensic psychiatric unit, maintaining professional boundaries is crucial to ensure the safety and well-being of both the nurse and the client. 2. Ethical Conduct: Sharing personal information, like one's address, with a client blurs the lines between professional and personal relationships, which can lead to ethical violations. 3. Safety Concerns: Given the client's history and the nature of the request, disclosing personal information could potentially put the nurse at risk or compromise her safety. 4. Client-Centered Care: By respectfully declining the request and emphasizing the professional nature of their relationship, the nurse upholds the principles of client-centered care and maintains a therapeutic environment. Summary: A: This response does not address the importance of professional boundaries and could potentially lead to ethical issues. B: This response is inappropriate, confrontational, and

Question 5 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.

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