A patient with cognitive impairment, who has been a widow for 30 years, is desperately trying to leave the facility, stating, “I have to go home to cook dinner before my husband gets home from work.”. How should the nurse intervene using validation therapy?
“You want to go home to prepare your husband’s dinner?”
“You must come away from the door.”.
“Your husband gets angry if you don’t have dinner ready on time?”
“You have been a widow for many years.”.
The Correct Answer is A
Validation therapy is a method of therapeutic communication which can be used to connect with someone who has moderate to late-stage dementia. It places more emphasis on the emotional aspect of a conversation and less on the factual content, thereby imparting respect to the person, their feelings, and their beliefs. In this scenario, the nurse should validate the patient’s feelings and emotions by saying, “You want to go home to prepare your husband’s dinner?”
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale
Feelings of hopelessness, worthlessness, and difficulty focusing are common symptoms of severe depression. Depression is a serious mood disorder that affects how a person feels, thinks, and handles daily activities. To be diagnosed with depression, the symptoms must be present for at least 2 weeks.
Choice A rationale
Changes in sleep pattern and fatigue are symptoms of depression, but an elevated mood is not. An elevated mood is more commonly associated with bipolar disorder.
Choice B rationale
While a depressed mood and feelings of guilt are symptoms of depression, rapid speech is not. Rapid speech is more commonly associated with mania or hypomania, conditions seen in bipolar disorder.
Choice C rationale
Difficulty concentrating and feelings of helplessness are symptoms of depression, but rapid shifts in thoughts are not. Rapid shifts in thoughts are more commonly associated with conditions such as bipolar disorder.
Correct Answer is A
Explanation
Choice A rationale
Negative symptoms of psychosis include anergia (lack of energy), flat affect (reduced emotional expression), and anhedonia (inability to feel pleasure)12131415.
Choice B rationale
Delusions are considered a positive symptom of psychosis, not a negative symptom.
Choice C rationale
Hallucinations are also considered a positive symptom of psychosis, not a negative symptom.
Choice D rationale
Anhedonia is indeed a negative symptom of psychosis, but it is not the only one.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.