A nurse is caring for a patient with low self-esteem. Which ...

[Jipu 123]

A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate?
 
  a. Arms crossed
  b. Staring at the nurse
  c. Smiling inappropriately
  d. Eyes pointed downward

Question 2

A patient with major depression was hospitalized for 8 days. Treatment included six electroconvulsive therapy sessions and aggressive dose adjustments of antidepressant medications.
 
  The patient owns a small business and was counseled not to make major decisions for a month. Select the correct rationale for this counseling.
 
  a. Temporary memory impairments and confusion are associated with electroconvulsive therapy.
  b. Antidepressant medications alter catecholamine levels, which impair decision-making abilities.
  c. Antidepressant medications may cause confusion related to a limitation of tyramine in the diet.
  d. The patient needs time to reorient him- or herself to a pressured work schedule.

[Chou]

Answer to Question 1

ANS: D
Nonverbal communication is usually considered more powerful than verbal communication. Downward-casted eyes suggest feelings of worthlessness or hopelessness.

Answer to Question 2

ANS: A
Recent memory impairment or confusion or both are often present during and for a short time after electroconvulsive therapy. An inappropriate business decision might be made because of forgotten and important details. The incorrect responses contain rationales that are untrue. The patient needing time to reorient him- or herself to a pressured work schedule is less relevant than the correct rationale.