Author Question: A client with severe orthopedic injuries after an automobile accident is irritable, angry, and ... (Read 75 times)

moongchi · **on:** Jul 19, 2018

A client with severe orthopedic injuries after an automobile accident is irritable, angry, and belittles
the nurses who provide his care.

While the nurse is changing the dressing over a deep laceration, the
client screams Don't touch me You are so stupid that you will make it worse The intervention
that uses a cognitive technique is to
a. wordlessly leave the room.
b. continue the dressing change, saying Did you know that the dressing change is
necessary so your leg will not become infected?
c. stop the dressing change, saying Since you think you know more than a nurse,
perhaps you would like to change your own dressing..
d. continue the dressing change, saying Unfortunately, you have no choice in this
because your doctor has ordered this dressing change..

Question 2

When a defendant is arraigned, she demonstrates bizarre behavior, talking to unseen people, failing
to respond to questions asked by the judge, and shouting obscenities during the proceedings.

The
judge orders an evaluation by a forensic examiner. The information of highest priority the examiner
will be asked to provide for the court is
a. the defendant's competence to proceed.
b. the cause of the defendant's courtroom behavior.
c. a reconstruction of the defendant's mental state at the time of the alleged crime.
d. a synopsis of the defendant's history, past diagnoses, personality traits, and
cognitive abilities.

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

Answer to Question 1

B
Anger is cognitively driven. Option B is an intervention that helps the client test his cognitions and
may lead to lowering his anger. Option A is not possible if the nurse has started the dressing change.
Option C will escalate the client's anger because it is belittling. Option D will escalate the client's
anger by increasing his sense of powerlessness.

Answer to Question 2

A
Competence to proceed is defined as the capacity to assist one's attorney and to understand legal
proceedings. In the United States no one is tried unless deemed to be competent. An incompetent
individual is remanded to a locked facility for treatment to regain competency. Option B: This
information may or may not be ascertainable. It may be associated with competence to proceed but
is not the priority. Option C: Legal sanity is not the priority concern in this instance. Option D:
These data are of interest but are not the priority concern.