Author Question: A cognitively impaired patient has been a widow for 30 years. This patient is frantically trying to ... (Read 53 times)

fahad · **on:** Jul 19, 2018

A cognitively impaired patient has been a widow for 30 years. This patient is frantically trying to leave the unit, saying, I have to go home to cook dinner before my husband arrives from work. To intervene with validation therapy, the nurse should say:

a. You must come away from the door.
b. You have been a widow for many years.
c. You want to go home to prepare your husband's dinner?
d. Was your husband angry if you did not have dinner ready on time?

Question 2

A patient has a history of impulsively acting out anger by striking others. Which would be an appropriate plan for avoiding such incidents?

a. Explain that restraint and seclusion will be used if violence occurs.
b. Help the patient identify incidents that trigger impulsive acting out.
c. Offer one-on-one supervision to help the patient maintain control.
d. Give the patient lorazepam (Ativan) every 4 hours to reduce anxiety.

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

Answer to Question 1

ANS: C
Validation therapy meets the patient where she or he is at the moment and acknowledges the patient's wishes. Validation does not seek to redirect, reorient, or probe. The other options do not validate patient feelings.

Answer to Question 2

ANS: B
Identifying trigger incidents allows the patient and nurse to plan interventions to reduce irritation and frustration that lead to acting out anger and to put more adaptive coping strategies eventually into practice.