Which is an effective nursing intervention to assist an angry patient learn to manage anger without violence?

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Question 1 of 5

Which is an effective nursing intervention to assist an angry patient learn to manage anger without violence?

Correct Answer: A

Rationale: The correct answer is A because it promotes cognitive-behavioral techniques to manage anger effectively. By helping the patient identify triggering thoughts, evaluate their validity, and replace them with reality-based thinking, nurses can assist in changing the patient's response to anger. This intervention encourages self-awareness and empowers the patient to develop healthier coping mechanisms. Choice B is incorrect as it promotes punitive measures, which can escalate aggression and undermine trust between the patient and healthcare provider. Choice C is incorrect as aversive conditioning methods like popping a rubber band on the wrist are not evidence-based and can be harmful. Choice D is incorrect as medication should not be the first-line intervention for managing anger without violence.

Question 2 of 5

The nurse is assessing a patient's immediate and short-term memory. Which of the following would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C because the nurse is assessing immediate and short-term memory. Giving the patient three words to recite now and then in 5 minutes tests both immediate recall and short-term memory retention. This task assesses the patient's ability to retain information over a brief period, which is crucial for evaluating memory function. In contrast, options A, B, and D involve different memory processes or timeframes and are not as directly relevant to assessing immediate and short-term memory. Option A focuses on long-term memory, option B involves problem-solving skills, and option D primarily tests orientation rather than memory retention.

Question 3 of 5

A group of nursing students is reviewing system models used in caring for families. The students demonstrate understanding of the information when they identify which of the following as characteristic of the Calgary Family Model?

Correct Answer: C

Rationale: The correct answer is C: Family development. The Calgary Family Model focuses on understanding how families develop and change over time. It emphasizes the importance of recognizing different stages of family development, such as forming, norming, storming, and performing. By understanding these stages, nurses can provide more effective care tailored to the family's specific needs. A: Differentiation of self is a concept from Bowen's Family Systems Theory, not the Calgary Family Model. B: Sibling position is a concept from Adlerian Family Therapy, not the Calgary Family Model. D: Subsystems refer to the different components within a family system, but it is not the primary focus of the Calgary Family Model, which is on family development.

Question 4 of 5

The nurse is caring for an older patient in a residential care facility. The patient has been extremely irritable the entire day. When modifying the patient's plan of care, which of the following would be an appropriate snack to offer the patient to decrease the irritability?

Correct Answer: D

Rationale: The correct answer is D: Glass of milk. Milk contains tryptophan, an amino acid that helps in the production of serotonin, a neurotransmitter that contributes to mood regulation. Offering the patient a glass of milk can help increase serotonin levels, potentially decreasing irritability. A: Chocolate candy bar is high in sugar and may lead to a spike in blood sugar levels, followed by a crash, which can worsen irritability. B: Raisins are a source of natural sugars but lack the necessary nutrients to help regulate mood. C: Granola bar may contain added sugars and lack the specific components like tryptophan found in milk to help improve mood.

Question 5 of 5

A client with schizophrenia tells the nurse, 'I'm being watched constantly by the FBI because of my job.' Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: The correct response is B: "It must be frightening to feel like you're always been watched." This response validates the client's feelings without challenging the delusion directly. It shows empathy and builds rapport. Choice A may inadvertently reinforce the delusion. Choice C denies the client's experience and may lead to resistance. Choice D uses clinical jargon and may be too direct, potentially causing the client to become defensive.

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