Which nursing intervention is best for facilitating communication with a

Question 1 WRONG Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language?Rely on nonverbal communication.Select symbolic pictures as aids.Speak in universal phrases.Use the services of an interpreter.

Question 1 Explanation:

An interpreter will enable the nurse to better assess the client’s problems and concerns. Nonverbal communication is important; however for the nurse to fully determine the client’s problems and concerns, the assistance of an interpreter is essential. The use of symbolic pictures and universal phrases may assist the nurse in understanding the basic needs of the client; however these are insufficient to assess the client with a psychiatric problem.Question 2 WRONG The nurse explains to a mental health care technician that a client’s obsessive-compulsive behaviors are related to unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement?Behavioral theory Cognitive theory

Interpersonal theory Psychoanalytic theory

Question 2 Explanation:

Psychoanalytic is based on Freud’s beliefs regarding the importance of unconscious motivation for behavior and the role of the id and superego in opposition to each other. Behavioral cognitive and interpersonal theories do not emphasize unconscious conflicts as the basis for symptomatic behavior.Question 3 WRONG The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety?“I guess you’re worried about something, aren’t you?“Can I get you some medication to help calm you?” “Have you been pacing for a long time?” “I notice that you’re pacing. How are you feeling?”

Question 3 Explanation:

By acknowledging the observed behavior and asking the client to express his feelings the nurse can best assist the client to become aware of his anxiety.In option A, the nurse is offering an interpretation that may or may not be accurate; the nurse is also asking a question that may be answered by a “yes” or “no” response, which is not therapeutic. In option B, the nurse is intervening before accurately assessing the problem. Option C, which also encourages a “yes” or “no” response, avoids focusing on the client’s anxiety, which is the reason for his pacing.Question 4

WRONG A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?Accepting the client’s obsessive-compulsive behaviors Challenging the client’s obsessive-compulsive behaviors Preventing the client’s obsessive-compulsive behaviors Rejecting the client’s obsessive-compulsive behaviors

Question 4 Explanation:

A client with obsessive-compulsive behavior uses this behavior to decrease anxiety. Accepting this behavior as the client’s attempt to feel secure is therapeutic. When a specific treatment plan is developed, other nursing responses may also be acceptable. The remaining answer choices will increase the client’s anxiety and therefore are inappropriate.Question 5 WRONG A 45-year-old woman with a history of depression tells a nurse in her doctor’s office that she has difficulty with sexual arousal and is fearful that her husband will have an affair. Which of the following factors would the nurse identify as least significant in contributing to the client’s sexual difficulty?Education and work history Medication used Physical health status Quality of spousal relationship

Question 5 Explanation:

Education and work history would have the least significance in relation to the client’s sexual problem. Age, health status, physical attributes and relationship issues have great influence on sexual expression.Question 6 WRONG Which nursing intervention is most appropriate for a client with anorexia nervosa during initial hospitalization on a behavioral therapy unit?Emphasize the importance of good nutrition to establish normal weight.Ignore the client’s mealtime behavior and focus instead on issues of dependence and independence.Help establish a plan using privileges and restrictions based on compliance with refeeding.Teach the client information about the long-term physical consequence of anorexia.

Question 6 Explanation:

Inpatient treatment of a client with anorexia usually focuses initially on establishing a plan for refeeding to combat the effects of self-induced starvation. Refeeding is accomplished through behavioral therapy, which uses a system of rewards and reinforcements to assist in establishing weight restoration. Emphasizing nutrition and teaching the client about the long- term physical consequences of anorexia maybe appropriate at a later time in the treatment program. The nurse needs to assess the client’s mealtime behavior continually to evaluate treatment effectiveness.Question 7 WRONG