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Author Question: A nurse is discussing unit expectations with a newly admitted patient diagnosed with poor impulse ... (Read 31 times)

Ebrown

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A nurse is discussing unit expectations with a newly admitted patient diagnosed with poor impulse control.
 
  The nurse shows an understanding of the use of body language to convey feelings when documenting that the patient is angry and resistant to authority based on which of the following? Select all that apply.
  a. Patient's reluctance to make eye contact
  b. Crossed-arm posture the patient assumes
  c. Quizzical expression on the patient's face
  d. Sharp rapping of the patient's fingers against the table
  e. Patient's tendency to lean forward when seated in the chair

Question 2

The nurse is working on the inclusion of therapeutic humor in interactions with a chroni-cally ill schizophrenic patient who was hospitalized after an attempted suicide. Which outcomes are realistic expectations for this patient? Select all that apply.
 
  a. Improved cognition
  b. Decreased interest in self-harm
  c. Increased ability to experience pleasure
  d. Decrease in the expression of fear and anxiety
  e. Appropriate expression of emotions through affect



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wtf444

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Answer to Question 1

ANS: B, D
Body language includes facial expressions, reflexes, body posture, hand gestures, eye move-ment, mannerisms, touch, and other body motions. Body posture and facial expressions, in-cluding eye movements, are two of the most important cues to determine how a person is re-sponding to the message. This patient's crossed-arm posture and sharp finger rapping are in-dicators of anger. Poor eye contract is recognized as poor self-esteem or guilt cues, whereas a quizzical expression is likely an indication of confusion. Leaning forward in the chair is gen-erally viewed as a positive sign of interest and/or cooperation.

Answer to Question 2

ANS: B, C, D, E
In two studies, researchers found that humor-based group activities provided to patients with chronic schizophrenia showed that they had a significant reduction in negative symptoms, self-injury, self-reported anger, anxiety, and depression. Although the results may be prelim-inary, they suggest that humor-based interventions may be beneficial for patients with chron-ic mental illness. There is no supporting evidence that cognitive abilities improve with the in-troduction of therapeutic humor.





 

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