A nurse is providing psychosocial support and counseling to a patient with sickle cell disease. The patient expresses feelings of anxiety and depression related to the chronic nature of the disease.
What is the primary goal of the nurse's intervention in this situation?
To encourage the patient to avoid stressful situations to minimize anxiety.
To promote self-care strategies, such as stress management and pain management techniques.
To address the emotional and psychological impact of the disease and provide support and coping strategies.
To administer prescribed antidepressant medications to alleviate symptoms of depression.
The Correct Answer is C
Choice A rationale:
To encourage the patient to avoid stressful situations to minimize anxiety.
Avoiding stressful situations is not a comprehensive solution for managing anxiety and depression related to a chronic disease.
While stress management is important, the primary goal should be to address the emotional and psychological impact of the disease and provide support and coping strategies.
Choice B rationale:
To promote self-care strategies, such as stress management and pain management techniques.
Promoting self-care strategies is a valuable component of addressing anxiety and depression, but the primary goal is to address the emotional and psychological impact of the disease.
This can include providing emotional support, counseling, and coping strategies beyond stress and pain management.
Choice D rationale:
To administer prescribed antidepressant medications to alleviate symptoms of depression.
While administering antidepressant medications may be a treatment option, it is not the primary goal of the nurse's intervention.
The primary goal is to address the emotional and psychological impact and provide support and coping strategies.
Medications may be part of a broader treatment plan, but they are not the primary focus of nursing care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
To increase the number of healthy red blood cells in the patient's body.
The primary goal of oxygen therapy in acute chest syndrome is not to increase the number of healthy red blood cells but to provide immediate relief by improving oxygenation.
Increasing healthy red blood cell production would take time and is not a suitable acute intervention.
Choice B rationale:
To reduce the frequency of pain crises and complications.
Oxygen therapy is not primarily aimed at reducing the frequency of pain crises.
It is used to address acute respiratory distress and improve oxygenation, which is essential in acute chest syndrome.
Choice D rationale:
To prevent infections and enhance the immune system response.
Oxygen therapy is not administered to prevent infections or enhance the immune system response.
Its main purpose is to address respiratory distress and hypoxia in patients with acute chest syndrome.
Correct Answer is D
Explanation
Providing emotional support and counseling to help patients cope with the chronic nature of the disease.
Choice A rationale:
Administering antibiotics prophylaxis to prevent infections.
This option is not the intervention described by the nurse in the scenario.
The nurse is discussing pain management strategies and the importance of taking prescribed pain medications promptly.
Antibiotics prophylaxis is a different aspect of care for sickle cell disease that focuses on preventing infections, particularly those caused by encapsulated bacteria.
Choice B rationale:
Encouraging adequate hydration to prevent dehydration and promote blood flow.
While adequate hydration is essential for individuals with sickle cell disease to prevent dehydration and promote blood flow, it is not the intervention described by the nurse in this scenario.
The nurse is specifically addressing the importance of taking pain medications and ensuring their effectiveness.
Choice C rationale:
Assisting with activities of daily living and mobility to prevent complications and maintain independence.
Assisting with activities of daily living and mobility is an important aspect of care for patients with sickle cell disease, but it is not the intervention mentioned by the nurse in this scenario.
The nurse is emphasizing the need for effective pain management, which is crucial for patients experiencing vaso-occlusive crises.
Choice D rationale:
Providing emotional support and counseling to help patients cope with the chronic nature of the disease.
The nurse is describing the importance of providing emotional support and counseling to help patients cope with the chronic nature of sickle cell disease and the pain associated with it.
This intervention is critical for addressing the emotional and psychological aspects of the disease and ensuring that patients can manage their pain effectively.
It also promotes overall well-being and quality of life for individuals with this chronic condition.
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