The nurse most effectively implements guided reminiscence during ...

[Bob-Dole]

The nurse most effectively implements guided reminiscence during a patient interview by
 
  a. reminding the patient to share important memories of the past.
  b. scheduling several short interviews rather than one long one.
  c. controlling the interview by selecting the memories to be discussed.
  d. encouraging the patient to relive his or her memories while maintaining focus.

Question 2

A nurse is caring for an older patient who is sedentary and does not want to participate in any activities. What action by the nurse is best?
 
  a. Inform the patient about the consequences of immobility.
  b. Promote activity by explaining the use it or lose it concept.
  c. Tell the patient he or she will feel better by being more active.
  d. Explain the relationship of being active and being independent.

[blfontai]

Answer to Question 1

D
This goal-directed interviewing process helps the patient share pertinent information through remembering. The tendency to reminisce may make it difficult for the patient to stay focused on the topic, so it is the nurse's responsibility to refocus the interview when necessary. Reminding the patient to share memories, using several short interviews, and controlling the interview do not make best use of this technique.

Answer to Question 2

D
Activity increases circulation, provides range of motion, and leads to clearer mental functioning. Activity helps a person remain independent and able to perform activities of daily living (ADLs) and instrumental ADLs. Presenting information in a positive light that encourages the patient to take control of one's own health is more likely to be successful than stressing the negative such as consequences of immobility or the concept of use it or lose it. Telling the patient that he or she will feel better does not give concrete information the patient can use to make decisions.

[Bob-Dole]

TYSM

[gcook]

Gracias!