Author Question: During the initial interview at the crisis center, a patient reveals that his wife asked him for a ... (Read 47 times)

lidoalex

  • Hero Member
  • *****
  • Posts: 538
During the initial interview at the crisis center, a patient reveals that his wife asked him for a divorce. He is so anxious that he cannot think straight.. Which response would best assess the patient's coping skills?
 
  a. I can see you are upset. You can rely on us to help you feel better..
  b. What would you like us to do to help you feel more relaxed?
  c. In the past, how did you handle difficult or stressful situations?
  d. Do you think you deserve to have things like this happen to you?

Question 2

A patient with serious mental illness who has just moved into a homeless shelter tells the nurse that his life just got out of control.. He says he could not depend on others, so he kept to himself.
 
  Then he added, I am like a leaf at the mercy of the wind.. The nurse adds the nursing diagnosis of Powerlessness to his care plan. Which entry in his chart best suggests that the treatment plan is helping with this diagnosis? a. Spent the day applying for positions at four local fast food places..
  b. Playing chess with peer, went for walk earlier, no paranoia noted..
  c. Hygiene adequate, no body odor noted, washed clothes on his own..
  d. Patient reports that he has made friends with a peer at the group home..



pratush dev

  • Sr. Member
  • ****
  • Posts: 321
Answer to Question 1

C
Exploring past responses to stressful events is the only option that assesses coping skills. Acknowledging distress is helpful, but assuming responsibility for the patient's feeling better is not therapeutic; neither assesses coping ability. Persons in crisis have difficulty with problem solving, so it would be unrealistic to ask them to provide instructions on how staff should help. Asking whether he deserves such experiences would provide information about self-esteem but not coping.

Answer to Question 2

A
A desired outcome would be decreased powerlessness or empowerment achieved, and indicators for those outcomes could include anything that suggests the patient is initiating goal-directed activities or feeling empowered. Applying for positions suggests that he feels empowered and capable. The other observations document decreased withdrawal (interacting), improved self-care (hygiene), and socialization (made friends).



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

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?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

The Food and Drug Administration has approved Risperdal, an adult antipsychotic drug, for the symptomatic treatment of irritability in children and adolescents with autism. The approval is the first for the use of a drug to treat behaviors associated with autism in children. These behaviors are included under the general heading of irritability and include aggression, deliberate self-injury, and temper tantrums.

For a complete list of videos, visit our video library