« previous next »

Author Question: An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people ... (Read 92 times)

nautica902

  • Hero Member
  • *****
  • Posts: 591
on: Jul 19, 2018
An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people who walk past in the hall. The nurse determines that the patient believes she is at home and that the other patients have broken into her home.
 
  The clinical nurse specialist suggests that staff use validation. Which of the following responses reflect this intervention? a. I'm a nurse who has come to check on you. Tell me about your home..
  b. You are in a nursing home. The others here are patients, just like you are..
  c. I wish you could be home, but you have been sick and are in a nursing home..
  d. You are not at home. This is a nursing home. It is September 10th, 2010..

Question 2

The barrier in the therapeutic relationship that occurs when the client attempts to avoid anxiety-provoking material is called
 
  1. anxiety.
  2. compliance.
  3. resistance.
  4. transference.


shewald78

  • Sr. Member
  • ****
  • Posts: 340
Reply #1 on: Jul 19, 2018
Answer to Question 1

A
Validation involves reducing distress by validating the essence of the patient's experience. By explaining her purpose for being with the patient, the nurse reduces the patient's tendency to see her as one of the home invaders. Asking the patient to talk about her home is the beginning of the validation process; subsequently the nurse will acknowledge the patient's desire to be home, gently guide the patient to reconsider whether her present location is her home, and whether the others might in fact belong there. The other choices are all variations on reorienting the patient to reality and are less likely to be effective (or may even be counterproductive in some patients).

Answer to Question 2

3
Resistance is a client's attempt to avoid recognizing or exploring anxiety-provoking material.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

It is important to read food labels and choose foods with low cholesterol and saturated trans fat. You should limit saturated fat to no higher than 6% of daily calories.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Patient Position for Posterior Percussion Patient Position for Posterior Percussion
Percussion for Ascites: Shifting Dullness, Patient on Left Side Percussion for Ascites: Shifting Dullness, Patient on Left Side
Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
Patient with osteoarthritis Patient with osteoarthritis
Wall painting with giraffes, zebra, eland, and abstract shapes, San people, Inanke Cave, Matobo ... Wall painting with giraffes, zebra, eland, and abstract shapes, San people, Inanke Cave, Matobo ...
Video: Introduction to Epilepsy

For a complete list of videos, visit our video library