A community psychiatric nurse assesses that a patient with a mood ...

[danielfitts88]

A community psychiatric nurse assesses that a patient with a mood disorder is more depressed than on the previous visit a month ago; however, the patient says, I feel the same.
 
  Which intervention supports the nurse's assessment while preserving the patient's autonomy?
 
  a. Arrange for a short hospitalization.
  b. Schedule weekly clinic appointments.
  c. Refer the patient to the crisis intervention clinic.
  d. Call the family and ask them to observe the patient closely.

Question 2

A patient hurriedly tells the community mental health nurse, Everything's a disaster I can't concentrate. My disability check didn't come. My roommate moved out, and I can't afford the rent. My therapist is moving away. I feel like I'm coming apart.
 
  Which nursing diagnosis applies
 
  a. Decisional conflict, related to challenges to personal values
  b. Spiritual distress, related to ethical implications of treatment regimen
  c. Anxiety, related to changes perceived as threatening to psychological equilibrium
  d. Impaired environmental interpretation syndrome, related to solving multiple problems affecting security needs
  ?

[prumorgan]

Answer to Question 1

ANS: B
Scheduling clinic appointments at shorter intervals will give the opportunity for more frequent assessment of symptoms and allow the nurse to use early intervention. If the patient does not admit to having a crisis or problem, this referral would be useless. The remaining options may produce unreliable information, violate the patient's privacy, and waste scarce resources.

Answer to Question 2

ANS: C
Subjective and objective data obtained by the nurse suggest the patient is experiencing anxiety caused by multiple threats to security needs. Data are not present to suggest Decisional conflict, ethical conflicts around treatment causing Spiritual distress, or Impaired environmental interpretation syndrome.

[danielfitts88]

TYSM

[Jsherida]

Gracias!