MULTIPLE CHOICE
1. A patient became severely depressed when the last of the family’s six children moved out of
the home 4 months ago. The patient repeatedly says, “No one cares about me. I’m not worth
anything.” Whi
...
MULTIPLE CHOICE
1. A patient became severely depressed when the last of the family’s six children moved out of
the home 4 months ago. The patient repeatedly says, “No one cares about me. I’m not worth
anything.” Which response by the nurse would be the most helpful?
a. “Things will look brighter soon. Everyone feels down once in a while.”
b. “Our staff members care about you and want to try to help you get better.”
c. “It is difficult for others to care about you when you repeatedly say the same
negative things.”
d. “I’ll sit with you for 10 minutes now and 10 minutes after lunch to help you feel
that I care about you.”
ANS: D
Spending time with the patient at intervals throughout the day shows acceptance by the nurse
and will help the patient establish a relationship with the nurse. The therapeutic technique is
“offering self.” Setting definite times for the therapeutic contacts and keeping the
appointments show predictability on the part of the nurse, an element that fosters trust
building. The incorrect responses would be difficult for a person with profound depression to
believe, provide false reassurance, and are counterproductive. The patient is unable to say
positive things at this point.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 14-27, 57 (Table 14-4) | Page 14-16 (Case Study and Nursing Care Plan)
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
2. A patient became depressed after the last of the family’s six children moved out of the home 4
months ago. Select the best initial outcome for the nursing diagnosis Situational low
self-esteem related to feelings of abandonment. The patient will
a. verbalize realistic positive characteristics about self by (date).
b. agree to take an antidepressant medication regularly by (date).
c. initiate social interaction with another person daily by (date).
d. identify two personal behaviors that alienate others by (date).
ANS: A
Low self-esteem is reflected by making consistently negative statements about self and
self-worth. Replacing negative cognitions with more realistic appraisals of self is an
appropriate intermediate outcome. The incorrect options are not as clearly related to the
nursing diagnosis. Outcomes are best when framed positively; identifying two personal
behaviors that might alienate others is a negative concept.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 14-27, 53 (Table 14-2) | Page 14-16 (Case Study and Nursing Care Plan) | Page 274
TOP: Nursing Process: Outcomes Identification
MSC: Client Needs: Psychosocial Integrity
[Show More]
.png)
