Exam 26: Therapies: Theory and Clinical Practice

A nurse,leading an inpatient group dealing with women's issues,identifies a patient who is assuming the role of aggressor.Which behavior characterizes this role?

Which intervention will the nurse implement in the first half hour after the patient has received ECT?

When leading a therapeutic group,the nurse demonstrates an understanding of the need to act as the group's executive when:

A patient asks the nurse manager to help resolve a situation between her and another patient.Which action would best support the patient's feelings of safety when experimenting with new ways of being?

Which statement by a patient who has given informed consent for ECT confirms that the patient understands the side effects of this treatment?

A patient attending group therapy mentions,"In the beginning,I was so sick that everyone had to help me.For the last few days,it's felt good to be able to give something back to the group." This statement can be assessed as an example of Yalom's factor of:

A novice mental health nurse shares that,"I'll never get used to playing cards or other games with patients.It seems like a poor use of scarce nursing time." The best response for the nurse's mentor would be:

When another patient serves as "alter ego" during an outpatient group session,the nurse documents that the group had been engaged in:

A patient is scheduled to attend an occupational therapy group to work on the identified goal of "recognizing and using more effective coping techniques." What measure can the nurse use to continue to support the patient's attainment of this goal after he returns to the unit?

Which activity therapy should the nurse recommend to the treatment team to assist the patient to relieve tension and achieve increased body awareness?

The nurse is collecting the paintings from the patients after the art session is over.After art therapy,a patient hands the nurse a paper that consists of several black scribbles.Which statement demonstrates the nurse understands the goals and objectives of the therapy?

The patient and the nurse have agreed on problems to be addressed during a short course of outpatient therapy.At the beginning of the appointment,the patient states,"I'd like to work on the issue of relationships today." Which assessment can be made?

By the end of the orientation phase,which outcome can be identified for a newly admitted patient? The patient will demonstrate:

About an hour after the patient has ECT,he complains of having a headache.The nurse should:

A new nurse asks the mentor,"How can I be sure I'm developing a therapeutic environment for my unit?" The mentor uses as a basis for the response the fact that a therapeutic milieu is characterized by:

When a novice nurse asks why the unit has a multidisciplinary approach to therapeutic activities,the nurse should explain that multidisciplinary collaboration:

A novice nurse who will be assessing a patient after electroconvulsive therapy (ECT)asks her mentor,"What sort of memory impairment is present after several ECT treatments?" The best response for the mentor would be:

When a patient asks the nurse,"How can jolting me with an electrical shock possibly do me any good?" the answer most reflective of current biologic theory would be:

To effectively plan care for a patient,the nurse will understand that activity and adjunct therapies may be more useful in some situations than verbal therapies because adjunct therapies:

The treatment team was engaged in planning how group therapy could be included as a part of the structured daily activities of the unit.A new team member asked,"Why is it so important to include group therapy for the patients?" The most accurate response would be based on the assumption that: