Author Question: A depressed adult is hospitalized after a suicide attempt The patient receives an antidepressant ... (Read 26 times)

dollx · **on:** Jul 19, 2018

A depressed adult is hospitalized after a suicide attempt

The patient receives an antidepressant medication, is closely supervised, attends a variety of group therapies and activities, watches television during free time, and talks to visitors in the evening. Which additional intervention is needed in the patient's care?
a. Milieu therapy
b. Adequate drug therapy
c. Increased contact with significant others
d. Meaningful communication with nursing staff

Question 2

An adult with paranoid schizophrenia is hospitalized. This patient has frequent auditory hallucinations and walks about the unit, muttering. To use psychotherapeutic management effectively, it is most important for the nurse to

a. understand the disease process of schizophrenia.
b. minimize contact between this patient and other patients.
c. administer PRN medication before interacting with the patient.
d. use behavior modification to decrease the frequency of hallucinations.

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

Answer to Question 1

D
Two of the three elements of psychotherapeutic management are present: psychopharmacology and milieu management. There is no evidence that the psychotherapeutic nursepatient relationship exists. Maintaining contact with significant others is not considered an element of the psychotherapeutic management model.

Answer to Question 2

A
An understanding of psychopathology is the foundation on which the three components of psychotherapeutic management rest; it facilitates therapeutic communication and provides a basis for understanding psychopharmacology and milieu management. Minimizing contact between the patient and others and administering PRN medication indiscriminately are nontherapeutic interventions. Using behavior modification to decrease the frequency of hallucinations would need to be incorporated into the plan of care.