Exam 9: Working With an Individual Patient

During a mental status examination (MSE) a patient says, "I am a special messenger sent to provide the world a cure for cancer." The patient's statement indicates the presence of what form of dysfunctional thought content?

The nurse writing a discharge summary for a patient should include achievements as well as what additional information?

A nurse and patient who developed a therapeutic relationship enter into the final phase of their relationship as the patient prepares for discharge.What is an important nursing intervention for this stage of the relationship?

Which goal statement is most appropriate for a newly admitted patient currently in the orientation stage of the nurse-patient relationship?

A patient has identified the need for better anger management and tells the nurse, "I'm afraid that someday I might explode." What is the best strategy for reducing this patient's fear of losing control?

Following the admission interview, a spouse of a patient asks the nurse, "Why did you ask my partner all those questions? Some of them had nothing to do with the current problems." The nurse's best response is based on what assessment focus of the mental status examination (MSE)?

A patient with a history of self-mutilation says to the nurse, "I want to stop hurting myself." What is the initial step of the problem-solving process to be taken toward resolution of a patient's identified problem?

What fact about a particular patient will have the greatest impact on nurse-patient collaboration?

A student states, "I do not see the value of process recordings." The response to this concern should be based on what information related to process recording?

A nurse and patient agree on problems to be addressed during a brief hospital stay.Which interpretation of this action is correct?

A patient shouts at a nurse who just entered the room, "You're an incompetent fool.Leave me alone." The nurse's response should be based on which rationale?

What is the most effective outcome for a nurse to include in the care plan for a withdrawn patient who says, "I would like to have more friends"? Within 3 days:

The nurse performing a mental status examination wants to assess for hallucinations.The nurse should ask which question?

An inpatient says, "Last time I was here, a primary nurse talked with me every day.This time, different nurses work with me.How can I make progress?" Which nursing response best addresses the patient's concern?

A patient says, "I went out drinking only one time last week.At least I'm trying to change." The nurse responds, "I appreciate your effort, but you agreed to abstain from alcohol completely." The nurse's response demonstrates the ability to manage what potential patient centered problem?

Which statement is most therapeutic when working with a patient believed to be experiencing emotional pain?

A patient hospitalized for 6 days has made little progress toward outcomes written at the time of admission.The nurse decides that the lack of progress toward goals indicates a need for what intervention?

A patient is hospitalized for severe depression.Knowing that the patient will be discharged after a short stay, what is the nurse's first priority?

A patient diagnosed with schizophrenia says to the nurse, "I feel really close to you.You're the only true friend I have." What is the nurse's most therapeutic response?

A nurse tells a patient, "I know how you feel.My spouse can be very insensitive too.I am also considering divorce." What behavior is the nurse demonstrating?