Which entry in the medical record best indicates that the ...

[V@ndy87]

Which entry in the medical record best indicates that the treatment plan for a depressed patient was successful?
 
  a. Gained 2 lb; sleeping 8 hours nightly; states, I'm feeling better about my life situation
  b. Weight stable; sleeping 6 hours nightly; complains of frequent abdominal pain and headache
  c. Gained 6 lb; sleeping 10 hours nightly; sensitive to interpersonal conflicts
  d. Lost 2 lb; sleeping 5 hours nightly; shows minimal interest in activities

Question 2

A clinic nurse encounters a new patient diagnosed with schizoid personality disorder. What is the best initial nursing intervention?
 
  a. Set firm limits.
  b. Engage in trust building.
  c. Involve the patient in group activities.
  d. Encourage identification of feelings.

[ndhahbi]

Answer to Question 1

A
The correct entry suggests that weight, sleep pattern, and mood are returning to normal. The other entries suggest that symptoms of depression continue to be present.

Answer to Question 2

B
Trust building is essential to developing a nursepatient relationship. Firm limit-setting is rarely necessary when working with a patient with schizoid personality disorder. Involvement in activities might be difficult at first, because the patient will be highly uncomfortable around people. The patient must trust the nurse before responding to encouragement to express feelings.

[V@ndy87]

Thanks for the timely response, appreciate it

[bulacsom]

TYSM