NUR 304 Chapter 14 - the home 4 months ago. The patient repeatedly s...

NUR 304 Chapter 14

• 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?

• "Things will look brighter soon. Everyone feels down once in a while."

• "Our staff members care about you and want to try to help you get better."

• "It is difficult for others to care about you when you repeatedly say the same negative things."

• "I'll sit with you for 10 minutes now and 10 minutes after lunch to help you feel that I care

about you."

Answer

• "I'll sit with you for 10 minutes now and 10 minutes after lunch to help you feel that I care

about you."

• 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

• verbalize realistic positive characteristics about self by (date).

• agree to take an antidepressant medication regularly by (date).

• initiate social interaction with another person daily by (date).

• identify two personal behaviors that alienate others by (date).

Answer

• verbalize realistic positive characteristics about self by (date)

• A patient diagnosed with major depression says, "No one cares about me anymore. I'm not

worth anything. "Today the patient is wearing a new shirt and has neat, clean hair. Which remark 1 / 2

by the nurse supports building a positive self-esteem for this patient?

• "You look nice this morning."

• "You're wearing a new shirt."

• "I like the shirt you are wearing."

• "You must be feeling better today."

Answer

• "You're wearing a new shirt."

• An adult diagnosed with major depression was treated with medication and cognitive

behavioral therapy. The patient now recognizes how passivity contributed to the depression.Which intervention should the nurse suggest?

• social skills training

• relaxation training classes

• desensitization techniques

• use of complementary therapy

Answer

• social skills training

• Priority interventions for a patient diagnosed with major depression and feelings of

worthlessness should include

• distracting the patient from self-absorption.

• careful unobtrusive observation around the clock.

• allowing the patient to spend long periods alone in meditation.
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