Author Question: A patient became severely depressed when the last of the family's six children moved out of the home ... (Read 51 times)

Capo · **on:** Jul 19, 2018

A patient became severely depressed when the last of the family's six children moved out of the home 4 months ago. The patient repeatedly says, No one cares about me. I'm not worth anything. Which response by the nurse would be the most helpful?

a. Things will look brighter soon. Everyone feels down once in a while.
b. Our staff members care about you and want to try to help you get better.
c. It is difficult for others to care about you when you repeatedly say the same negative things.
d. I'll sit with you for 10 minutes now and 10 minutes after lunch to help you feel that I care about you.

Question 2

The plan of care for a patient in the manic state of bipolar disorder should include which interventions? Select all that apply.

a. Touch the patient to provide reassurance.
b. Invite the patient to lead a community meeting.
c. Provide a structured environment for the patient.
d. Ensure that the patient's nutritional needs are met.
e. Design activities that require the patient's concentration.

lin77x · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Spending time with the patient at intervals throughout the day shows acceptance by the nurse and will help the patient establish a relationship with the nurse. The therapeutic technique is offering self. Setting definite times for the therapeutic contacts and keeping the appointments show predictability on the part of the nurse, an element that fosters trust building. The incorrect responses would be difficult for a person with profound depression to believe, provide false reassurance, and are counterproductive. The patient is unable to say positive things at this point.

Answer to Question 2

ANS: C, D
People with mania are hyperactive, grandiose, and distractible. It's most important to ensure the patient receives adequate nutrition. Structure will support a safe environment. Touching the patient may precipitate aggressive behavior. Leading a community meeting would be appropriate when the patient's behavior is less grandiose. Activities that require concentration will produce frustration.