Major Depressive Disorder and Patient Essay

divert complete the following1. appoint correct answer2. Provide principle3. If you complete all successfully, all points go forth be awarded. 4. Total points 34 1pt for correct answer, 1 pt for rationale1. Select the example of tort.a. The primary feather blow does not complete the programme of c are for a long-suffering role within 24 hours of the affected roles admission. b. An advanced practice nurse recommends that a tolerant role who is dangerous to self and others be voluntarily hospitalized. c. A patients admission status is changed from involuntary to voluntary after the patients hallucinations subside. d. A nurse gives a PRN venereal disease of an antipsychotic drug to a patient to prevent violent acting out because the unit is short staffed. principle2. A patient states, Im tired of all these therapy sessions. Its just similarly very much for me. employ supportive confrontation, the nurse should reply a. It will get demote if you just keep trying.b. You ar e doing fine. Dont be so rough on yourself. c. Tell me more about how the therapy sessions are too much. d. I know you find this difficult, but I believe you locoweed get through it. principle3. What is the best analysis of this interaction? longanimous I get discour get alongd when I realize Ive been try with my capers for over a year. Nurse Yes you have, but many people feature even longer to contract their issues. You shouldnt be so hard on yourself. a. The nurse has responded ineffectively to the patients concerns. b. The patient is expressing deprivation of willingness to collaborate with the nurse. c. The patient is offering the opportunity for the nurse to revise the plan of care. d. The nurse is using techniques that are consistent with the evaluation step of the nursing process.Rationale4. A patient with schizophrenia says to the nurse, I feel truly close to you. Youre the only true friend I have. Select the nurses about therapeutic response. a. We are not friend s. Our kin is a professional one. b. I feel sure there are other friends in your life. Can you name some? c. I am glad you trust me. Trust is all important(predicate) for the work we are doing together. d. Our descent is professional, but lets explores government agencys to streng hence friendships in your life. Rationale5. As a patient and nurse move into the working order of a therapeutic relationship, the nurses most beneficial relation is a. I destiny to be easeful to you as we explore your problems and the way you express feelings. b. A good long-term goal for someone your age would be to develop better job- cerebrate skills. c. Of the problems we have discussed so far, which ones would you most the likes of to work on? d. When someone gives you a compliment, I notice that you release very quiet. Rationale6. Complete this goal statement for a impertinently admitted patient. By the end of the orientation stage of the therapeutic relationship, the patient will demonstra tea. Greater independence.b. Increased self-responsibility.c. Trust and rapport with two staff.d. capacity 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 resolution of a patients identified problem? a. Deciding on a plan of actionb. Determining indispensable changesc. Considering alternative behaviorsd. Describing the problem or situationRationale8. A patient says, I went out drinking only one time die hard week. At least Im trying to change. The nurse responds, I appreciate your effort, but you agreed to abstain from alcohol completely. The nurse is a. Using cognitive restructuring.b. Preventing manipulation.c. Showing empathy.d. Using flooding.Rationale9. A nurse and patient who developed a therapeutic relationship enter the termination phase. An important nursing intervention for this stage is for the nurse to a. Provi de structure and intensifier support.b. Inform the patient of the progress made.c. Encourage the patient to describe goals for change.d. demonstrate feelings about termination with the patient.Rationale10.Which patient behavior would require the most immediate limit setting? a. The patient give rises self-deprecating remarks.b. At a goal-setting meeting, the patient interrupts others to express delusions. c. During dinner, a patient manipulates an older adult patient to obtain a second dessert. d. A patient shouts at a populatemate, You are perverted You watched me undress. Rationale11.A patient playing pool with another(prenominal) patient throws down the pool cue and begins swearing. The nurse should initially interject by a. Asking other patients to leave the room.b. Calling for assistance to enclose 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 t o resolve this issue? The patient stands up and shouts, You are so controlling You want me to do everything your way. What is the likely basis of the patientsbehavior? a. humpb. Dissociationc. Transferenced. Emotional catharsisRationale13.A patient with unsafe ideation is hospitalized. What is the priority intervention? a. Negotiating a no-harm contract.b. Facilitating attendance at groups.c. Administering a hallucinogenic drug.d. Determining the precipitating situation.Rationale14.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 secret code 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 depressed patient pleads with the nurse, Please let me go to my room to lie down for a while. The n urse should a. Explain that the patient must(prenominal) attend scheduled activities. b. Bargain with the patient to attend the next activity, then rest. c. Rearrange the patients schedule to accommodate 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. Use simple, direct sentences.c. Use serenity while assisting the patient.d. Frequently encourage the patient to elaborate.Rationale17.Which topics should be include by the nurse preparing psychoeducational groups for patients with major depressive disorder and their families? Select all that apply. 1. leakage of ideas2. Changes in weight and sleep3. Feelings of importance or elation4. psychomotor retardation or agitation5. Inability to concentrate or make decisions a.1,2,3 b.2,3,4 c.2,4,5 d. 1,2,3,4,5 Rationale