Author Question: A mildly confused older adult patient states, I am in the Mojave desert.. A nurse who is using ... (Read 25 times)

Evvie72

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A mildly confused older adult patient states, I am in the Mojave desert.. A nurse who is using validation therapy with the patient would make which response?
 
  a. Are you feeling hot or thirsty?
  b. Can you tell me about a time in your past when you were in a desert?
  c. You are in a rehabilitation nursing center because you need help caring for yourself..
  d. Your medical record shows that you have hyperthyroidism, which is probably responsible for the confusion you are experiencing..

Question 2

When a client has an illness where brain dysfunction directly influences his or her feelings, the DSM-IV diagnosis would be which of the following?
 
  a. Major Depressive Episode
  b. Mood Disorder due to a General Medical Condition
  c. Dysthymic Disorder
  d. axis III diagnosis with primary psychiatric diagnosis



Sassygurl126

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Answer to Question 1

A
Validation therapy involves searching for emotion and/or meaning in the patient's disoriented or confused words and behavior and validating them verbally with the patient.

Answer to Question 2

B
Mood Disorder due to a General Medical Condition is the DSM-IV diagnosis given when an organic dysfunction acts as a direct influence on a client's emotions. Depression following a stroke is an example of this phenomenon. Such depression can have roots in the neurological effect the stroke has had on the client.



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