Major Depressive Disorder and Patient Essay

Please comp tout ensembleowe the succeeding(a)1. Select correct answer2. put forward rule3. If you complete all(a) successfully, all points for attempt be awarded. 4. Total points 34 1pt for correct answer, 1 pt for rationale1. Select the example of tort.a. The primary prevail does non complete the plan of sustainment for a affected role of within 24 hours of the forbearings admission. b. An advanced learn along keep recomm wipeouts that a enduring who is heavy to self and others be voluntarily hospitalized. c. A forbearing roles admission circumstance is changed from involuntary to voluntary after the long-sufferings hallucinations subside. d. A cherish gives a PRN dose of an antipsychotic drug to a unhurried to prevent boisterous acting out because the unit is piffling staffed. precept2. A tolerant states, Im tired of all these therapy sessions. Its just worrywise much for me. utilize supportive confrontation, the cheer should reply a. It allow get conk out if you just support trying.b. You argon doing fine. Dont be so hard on yourself. c. set up me more about how the therapy sessions argon too much. d. I know you find this difficult, solely I believe you can get through it. principle3. What is the best compend of this interaction?Patient I get discouraged when I realize Ive been struggling with my problems for over a year. hold back Yes you have, but many people throw even longer to resolve their counters. You shouldnt be so hard on yourself. a. The give has responded ineffectively to the patients concerns. b. The patient is takeing lack of willingness to collaborate with the nurse. c. The patient is offering the opportunity for the nurse to fiat the plan of care. d. The nurse is using techniques that are consistent with the evaluation rate of the care for process. rule4. A patient with schizophrenia says to the nurse, I feel really terminal to you. Youre the only true relay link I have. Select the nurses most t herapeutic response. a. We are not friends. Our relationship is a professional peerless. b. I feel sure there are other friends in your life. Can you human body some? c. I am lucky you trust me. Trust is important for the stimulate we are doing together. d. Our relationship is professional, but lets explores ways to strengthen friendships in your life. rule5. As a patient and nurse move into the working dot of a therapeutic relationship, the nurses most beneficial asseveration is a. I want to be wait onful to you as we explore your problems and the way you express feelings. b. A good long-term goal for person your age would be to develop better job- tie in skills. c. Of the problems we have discussed so far, which ones would you most alike to work on? d. When someone gives you a compliment, I notice that you become actually quiet. Rationale6. Complete this goal statement for a newly admitted patient. By the end of the orientation stage of the therapeutic relationship, th e patient will demonstratea. Greater independence.b. increase self-responsibility.c. Trust and rapport with two staff.d. business leader to problem-solve one issue.Rationale7. 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 settlement of a patients determine problem? a. Deciding on a plan of actionb. ascertain infallible changesc. Considering alternative behavioursd. Describing the problem or particularRationale8. A patient says, I went out drinking only one time last week. At least Im trying to change. The nurse responds, I appreciate your effort, but you hold to abstain from alcohol completely. The nurse is a. victimization cognitive restructuring.b. Preventing manipulation.c. Showing empathy.d. Using flooding.Rationale9. A nurse and patient who highly-developed a therapeutic relationship put in the termination phase. An important nursing handling for this stage is for the nurse to a. Provide body structure and intensive support.b. Inform the patient of the mature made.c. Encourage the patient to describe goals for change.d. discuss feelings about termination with the patient.Rationale10.Which patient behavior would require the most contiguous limit setting? a. The patient makes self-deprecating remarks.b. At a goal-setting meeting, the patient interrupts others to express delusions. c. During dinner, a patient manipulates an older grown patient to obtain a due south dessert. d. A patient shouts at a roommate, You are perverted You watched me undress. Rationale11.A patient playing pool with another patient throws down the pool cue and begins swearing. The nurse should initially intervene by a. communicate other patients to leave the room.b. Calling for care to restrain the patient.c. Suggesting a time-out in the patients room.d. Restating rules of the milieu related to swearing.Rationale12.A nurse says, What step would you like to take next to resolve this issue? The patient stands up and shouts, You are so controlling You want me to do everything your way. What is the apparent basis of the patientsbehavior? a. Projectionb. Dissociationc. Transferenced. stirred up catharsisRationale13.A patient with suicidal ideation is hospitalized. What is the priority intervention? a. Negotiating a no-harm contract.b. Facilitating attendance at groups.c. Administering a psychotropic drug.d. Determining the precipitating situation.Rationale14.Following the admission interview, a spouse of a patient asks the nurse, wherefore did you ask my partner all those questions? slightly of them had nothing to do with current problems. The nurses best response is, Those questions help us understand a. The patients current status.b. The complete family history.c. The patients past experiences.d. What the patient prognosis will be?Rationale15.After breakfast, a demoralize patient pleads with the nurse, Please let me go to my room to lie down for a small-arm. The nurse should a. Explain that the patient mustiness attend scheduled activities. b. Bargain with the patient to attend the next activity, then rest. c. rearrange the patients schedule to maintain the request. d. Explain that the team will be displeased if the schedule is not followed. Rationale16.When communicating with a withdrawn, depressed patient who speaks slowly and in monosyllables, the nurse should a. Be as cheerful as possible.b. example simple, direct sentences.c. Use silence while assisting the patient.d. Frequently encourage the patient to elaborate.Rationale17.Which topics should be included by the nurse preparing psychoeducational groups for patients with major depressive disorder and their families? Select all that apply. 1. Flight of ideas2. Changes in weight and balance3. Feelings of importance or elation4. psychomotor retardation or agitation5. softness to concentrate or make decisions a.1,2,3 b.2,3,4 c.2,4,5 d. 1,2,3,4 ,5 Rationale