NG 308 Behavioral Health nursing | NG 308 EAQ’s - Answered with Rationales (Complete Solutions)
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Course
NG 308
Institution
NG 308
NG 308 Behavioral Health nursing | NG 308 EAQ’s - Answered with Rationales (Complete Solutions) Which clients are using complementary and/or alternative medicine (CAM) to treat their symptoms of emotional distress and psychiatric illness? Select all that apply. One, some, or all responses may b...
Which clients are using complementary and/or alternative medicine (CAM) to treat their
symptoms of emotional distress and psychiatric illness? Select all that apply. One,
some, or all responses may be correct.
A. Client practices meditation to reduce anxiety in addition to outpatient counseling
B. Client uses massage, lavender, and chamomile to decrease stress and anxiety
C. Client undergoes electroconvulsive therapy and takes an antidepressant medication
D. Client takes prescribed antianxiety medication and sees a psychiatrist for
psychotherapy
E. Client with depression takes an omega-3 fatty acid supplement and an
antidepressant
(Complementary therapies involve the use of alternative therapies together with
traditional treatment modalities. Alternative refers to the use of these therapies in place
of conventional treatment. Yoga, meditation, massage, herbs, and supplements are
considered nonmainstream treatments. Outpatient counseling, electroconvulsive
therapy, psychotherapy, and pharmacological intervention are traditional treatment
modalities.)
Which response would the male nurse give to the client who states, "You know, I've
never had a male nurse before"?
A. "Does it bother you to have a male nurse?"
B. "How do you feel about having a male nurse?"
C. "There aren't many male nurses; we're a minority."
D. "You sound upset. I'll get a female nurse to care for you."
(Inquiring neutrally about the client's feelings about having a male nurse encourages the
client to express and explore feelings in an open, nonjudgmental way. "Does it bother
you?" is an assumption of bother that asks for a yes or no validation. The client could be
trying to start a conversation about men in nursing. "There aren't many male nurses" is
a nurse-focused response. Rather than immediately volunteering to get a female nurse,
the nurse would conduct additional assessment about the client's comment.)
Which behavior is the nurse displaying while caring for a depressed 75-year-old woman
who reminds her of her grandmother when she spends extra time and attention and
brings home-baked cookies?
A. Affiliation
B. Displacement
C. Compensation
D. Countertransference
,(With countertransference, the professional provider of care exhibits an emotional
reaction to a client based on a previous relationship or on unconscious needs or
conflicts. Affiliation is turning to others for support and help when stressed or conflicted.
Displacement is the discharge of pent-up feelings onto something or someone else that
is less threatening than the original source of the feelings. Compensation is attempting
to balance deficiencies in one area by excelling in another area.)
A young male client is undergoing dialysis treatment. With eyes lowered and his jaw
clenched, he says, "My wife would at least get some insurance money if I died." Which
response would the nurse use?
A. "I can appreciate and understand how you feel."
B. "You feel so bad you wish you were dead."
C. "We all have days when we feel like that."
D. "You need time to adjust to the treatments."
(The nurse uses paraphrasing to restate feelings and content; this encourages further
communication. Feelings are personal and cannot really be understood by others.
Ineffective attempts to empathize end up refocusing the attention on the nurse. "We all
have days" negates the client's feelings and cuts off communication. Offering platitudes
or empty advice is never useful to the client.)
Which issue is the main problem for a client who is withdrawn and declines participation
in situations that require communication with others?
A. Personal identity
B. Social interaction
C. Sensory perception
D. Verbal communication
(Characteristics of clients with problems with social interaction include avoidance of
others, problematic patterns of interaction, and an inability to establish or maintain
stable, supportive relationships. Clients with personal identity issues usually exhibit an
inability to distinguish between the self and nonself. A client with impaired sensory
perception demonstrates altered processing of sensory stimuli and a distorted or
decreased response to stimuli. A client who has problems with verbal communication
has a decreased ability to receive, process, or transmit communication.)
Which primary purpose is served when an individual takes action to reduce anxiety?
A. Reduction of tension
B. Denial of the situation
C. Avoidance of physical discomfort
D. Resolution in decision-making
, (The primary purpose for action when a client is anxious is the reduction of emotional
tension and prevention of escalation of the anxiety. When tension is reduced, anxiety is
diminished, and the person feels more comfortable, safe, and secure. When acting to
reduce anxiety, the person does not deny its existence, but causation is not always
known. If physical symptoms are occurring because of anxiety, reduction of the
emotional component reduces the physical manifestations. Mild anxiety can enhance
decision-making and problem-solving, but higher levels of anxiety interfere with those
cognitive functions.)
At 4 AM a client calls the crisis hotline. Which assessment is the priority?
A. Current issues affecting safety
B. Perception of the crisis event
C. Inability to control the situation
D. Methods used for crisis resolution
(The focus should be on the immediate situation and any issues that affect safety. If the
client is unsafe, then the client is given specific directions, such as to call 911 or leave a
dangerous scene. The client's perception of the event, ability to control the situation,
and methods of coping are assessed once safety is ensured.)
Which behavior indicates that an individual has successfully completed the grieving
process after the death of a significant other?
A. Verbalizes an acceptance that death is inevitable
B. Goes on with life and forgets the pain and the past
C. Remembers the significant other realistically
D. Focuses on the good qualities of the person who died
(Successful resolution means being able to remember the good as well as the bad
qualities of the deceased and accepting them as part of the deceased. Resolution
involves working through feelings, not just accepting what occurred. Resolution does
not mean forgetting; rather, it means realistically remembering the past. Focusing
mainly on the good qualities of the person who died is an unhealthy response that may
become pathological as a result of the unresolved feelings about the person's other
qualities.)
Which defense mechanism is a client displaying when the client can no longer
remember why an event was stressful, even though it happened just 3 days ago?
A. Denial
B. Regression
C. Repression
D. Dissociation
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