Author Question: A patient has come to the clinic to discuss the stress she is experiencing because of failing two ... (Read 53 times)

kaid0807 · **on:** Jul 19, 2018

A patient has come to the clinic to discuss the stress she is experiencing because of failing two exams at school.

Initially, she described her failures as the worst thing that has ever happened to me, and she stated, There is absolutely nothing I can do to pass this course now. In response to the nurse's questions, the nurse finds out there are three more equally weighted exams scheduled for the course in question. The nurse and patient collaborate and decide to use interventions to facilitate emotion-focused coping. Which additional comment from the patient would the nurse identify as providing support for this decision?
A) You've got to figure out something for me to do to get me out of this situation
B) This is a waste of time because absolutely nothing you or I can do will make it any better.
C) I overreacted; surely together we can figure out something for me to do.
D) This is the worst thing that could ever happen to me. I'm nothing but a failure.

Question 2

Which strategy would be included in a nursing care plan for an older adult patient who has sundown syndrome? (Select all that apply.)

a. Minimizing daytime sleep
b. Increasing physical activity, such as walking
c. Protecting the patient from exposure to sunlight
d. Increasing social interaction with staff and others
e. Engaging the patient in mentally stimulating activities

emsimon14 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C

Answer to Question 2

A, B, D, E
It is postulated that sundown syndrome is caused by deterioration of the suprachiasmatic nucleus of the hypothalamus. This interferes with the major pacemaker of circadian rhythms. One strategy to ameliorate it is to provide at least minimal exposure to direct sunlight each day to reset circadian rhythm. The other interventions are safe and effective.