Major Depressive Disorder and Patient

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Name: ___________________________________
Please complete the following:  
1.  Select correct answer
2. Provide rationale
3. If you complete all successfully, all points will be awarded. 4. Total points:  34 1pt for correct answer, 1 pt for rationale

1.  Select the example of tort.
a. The primary nurse does not complete the plan of care for a patient within 24 hours of the patient’s admission. b. An advanced practice nurse recommends that a patient who is dangerous to self and others be voluntarily hospitalized. c. A patient’s admission status is changed from involuntary to voluntary after the patient’s hallucinations subside. d. A nurse gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because the unit is short staffed. Rationale:

2.  A patient states, “I’m tired of all these therapy sessions. It’s just too much for me.” Using supportive confrontation, the nurse should reply: a. “It will get better if you just keep trying.”

b. “You are doing fine. Don’t be so hard on yourself.” c. “Tell me more about how the therapy sessions are too much.” d. “I know you find this difficult, but I believe you can get through it.” Rationale: 

3. What is the best analysis of this interaction?
Patient: I get discouraged when I realize I’ve been struggling with my problems for over a year. Nurse: Yes you have, but many people take even longer to resolve their issues. You shouldn’t be so hard on yourself. a. The nurse has responded ineffectively to the patient’s concerns. b. The patient is expressing lack of willingness to collaborate with the nurse. c. The patient is offering the opportunity for the nurse to revise the plan of care. d. The nurse is using techniques that are consistent with the evaluation step of the nursing process. Rationale:

 
4.    A patient with schizophrenia says to the nurse, “I feel really close to you. You’re the only true friend I have.” Select the nurse’s most therapeutic response. a. “We are not friends. Our relationship is a professional one.” b. “I feel sure there are other friends in your life. Can you name some?” c. “I am glad you trust me. Trust is important for the work we are doing together.” d. “Our relationship is professional, but let’s explores ways to strengthen friendships in your life.” Rationale: 

5. As a patient and nurse move into the working stage of a therapeutic relationship, the nurse’s most beneficial statement is: a. “I want to be helpful to you as we explore your problems and the way you express feelings.” b. “A good long-term goal for someone your age would be to develop better job-related skills.” c. “Of the problems we have discussed so far, which ones would you most like to work on?” d. “When someone gives you a compliment, I notice that you become very quiet.” Rationale: 

6.  Complete this goal statement for a newly admitted patient. “By the end of the orientation stage of the therapeutic relationship, the patient will demonstrate: a. Greater independence.”
b. Increased self-responsibility.”
c. Trust and rapport with two staff.”
d. Ability to problem-solve one issue.”
   Rationale:  

7. A patient with a history of self-mutilation says to the nurse, “I want to stop hurting myself.” What is the initial step of the problem-solving process to be taken toward resolution of a patient’s identified problem? a. Deciding on a plan of action

b. Determining necessary changes
c. Considering alternative behaviors
d. Describing the problem or situation
Rationale: 
 
8. A patient says, “I went out drinking only one time last week. At least I’m trying to change.” The nurse responds, “I appreciate your effort, but you agreed to abstain from alcohol completely.” The nurse is: a. Using cognitive restructuring.

b. Preventing manipulation.
c. Showing empathy.
d. Using flooding.
Rationale: 

 9. A nurse and patient who developed a therapeutic relationship enter the termination...
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