The nurse is caring for a patient with a mood disorder who has ...

[renzo156]

The nurse is caring for a patient with a mood disorder who has been admitted to the medical-surgical unit for postoperative care. Which actions are appropriate therapeutic strategies for use with a patient with a mood disorder? Select all that apply.
 
  1. Offering a variety of choices in order to keep communication open
  2. Keeping communication simple by offering limited choices
  3. Reminding patients of delusional material when symptoms have resolved
  4. Questioning the patient's belief system when it conflicts with the nurse's
  5. Not reminding patients of inappropriate behaviors when in an altered state of mental health

Question 2

A patient with a major depressive disorder states, I don't care about anything anymore. What is the nurse's best response?
 
  1. You have such a good life
  2. Are you feeling suicidal?
  3. Don't worry. You'll feel better tomorrow.
  4. What about your children? They are so cute and wonderful

[scottmt]

Answer to Question 1

Answer: 2, 5
Explanation: Reminding patients of inappropriate behaviors or delusional symptoms may result in confusion or embarrassment for the patient. Many times patients do not remember or may feel frightened by their manic behavior. If the patient remembers and brings it up, provide reassurance and seek clarification to understand how feelings are associated with their behaviors. Do not challenge or criticize a patient's belief system or values, even if they are in direct conflict with your own. Offering limited choices may help promote communication with patients experiencing racing thoughts associated with mania.

Answer to Question 2

Answer: 2
Explanation: Patients with depressive and bipolar disorder are at increased risk for suicide; ongoing assessment for suicide is an essential component of caring for these patients. Are you feeling suicidal? asks the patient directly about suicide. It assesses for initial suicidal risk and the need for increased safety precautions. What about your children? They are so cute and wonderful changes the topic, and a cheerful attitude about the children does not make a depressed person feel better or assess for safety needs. You have such a good life does not encourage expression of thoughts and feelings. Don't worry. You'll feel better tomorrow offers false reassurance.

[renzo156]

Thanks for the timely response, appreciate it

[zacnyjessica]

Excellent