A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?

Anger

Fear

Isolation

Suicidal ideation

Answer and Explanation

The Correct Answer is D

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

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Correct Answer is B

Explanation

A. "What we say can be secret. What I write in the chart is available to the health team." This response lacks clarity about legal and ethical obligations.
B. "I am required to report any intent to hurt yourself or others." This response clearly communicates the legal and ethical obligation to protect the patient and others from harm, while also acknowledging the importance of patient confidentiality in other situations.
C. "Conversations between patient and nurse are confidential." This is true, but it does not address exceptions such as harm to self or others.
D. "I can't help you unless you trust me." This does not address the patient's concerns about confidentiality directly.

A. Depression B. Stress C. Anxiety D. Anger

Correct Answer is B

Explanation

A. Depression: While change can contribute to depression, it does not necessarily stimulate depression in everyone.
B. Stress: Any event requiring change can stimulate stress as individuals adapt to new situations or challenges.
C. Anxiety: While change can cause anxiety, stress is a broader term that encompasses both anxiety and other reactions.
D. Anger: Change can lead to anger, but stress is the more encompassing term that describes the overall reaction to change.

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A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?

Correct Answer is B

Explanation

What does any event that requires change stimulate?

Correct Answer is B

Explanation

The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?

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