A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?

Hope.

Time management.

Reminiscence.

Faith.

Answer and Explanation

The Correct Answer is A

Choice A reason: The nurse promotes hope by helping the depressed patient identify activities to look forward to, fostering optimism and purpose. Hope, a spiritual concept, counteracts despair, enhancing mental health per psychological resilience models. This intervention supports emotional recovery, critical for patients with severe depression facing existential challenges.

Choice B reason: Time management is a practical skill, not a spiritual concept, and unrelated to identifying positive activities in depression. The nurse’s focus is hope, not organization. Assuming time management misaligns with the intervention, risking neglect of the patient’s spiritual need for meaning, critical for addressing depressive hopelessness and recovery.

Choice C reason: Reminiscence involves recalling past experiences, not future-oriented activities, as the nurse encourages. Hope targets forward-looking optimism, not reflection. Assuming reminiscence misguides the intervention, potentially missing the patient’s need for hope to combat depression, delaying emotional recovery and engagement in meaningful activities for mental health.

Choice D reason: Faith involves religious or spiritual beliefs, not specifically identifying future activities, as the nurse does to foster hope. While faith may support hope, the intervention targets optimism broadly. Assuming faith risks narrowing the focus, potentially overlooking non-religious patients’ need for hope, critical for depression management and emotional resilience.

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Correct Answer is D

Explanation

Choice A reason: While hospice provides pain management, this is not the primary criterion. Many patients receive pain management outside hospice. The defining factor is a prognosis of less than 6 months, making this choice incomplete and less accurate for explaining hospice eligibility.

Choice B reason: Having a terminal illness like cancer is relevant, but not all terminal patients qualify for hospice. The key criterion is a life expectancy of 6 months or less, as determined by a physician. This choice is too broad and lacks specificity, making it incorrect.

Choice C reason: An advance directive is not required for hospice eligibility, though it may guide care decisions. Hospice focuses on prognosis, not legal documentation. This criterion is irrelevant to qualifying for hospice services, making it an incorrect choice for the nurse to share.

Choice D reason: Hospice care is for patients with a prognosis of 6 months or less, as certified by a physician. This criterion, per Medicare and hospice guidelines, defines eligibility for terminal cancer patients, ensuring comprehensive end-of-life care. This is the most accurate information for the nurse to share.

A. Self-care deficit. B. Risk for falls. C. Impaired socialization. D. Impaired physical mobility.

Correct Answer is C

Explanation

Choice A reason: Self-care deficit addresses physical inability to perform daily tasks, not psychological issues from sensory impairments. Hearing and visual loss primarily impact communication, leading to socialization issues. Assuming self-care deficit misaligns the diagnosis, risking neglect of psychological needs like social isolation, critical for mental health in sensory-impaired patients.

Choice B reason: Risk for falls is a physical safety concern due to sensory impairments but not psychological. Impaired socialization better addresses the psychological impact of communication barriers. Prioritizing falls risks overlooking social isolation, delaying interventions like communication aids, essential for mental well-being in patients with hearing and visual deficits.

Choice C reason: Impaired socialization, a psychological nursing diagnosis, reflects the communication barriers from hearing and visual impairments, leading to social isolation and emotional distress. This diagnosis guides interventions like assistive devices or support groups, critical for mental health, ensuring patients maintain social connections and emotional resilience despite sensory challenges.

Choice D reason: Impaired physical mobility relates to movement limitations, not psychological effects of sensory impairments. Hearing and visual loss primarily cause socialization issues, not mobility deficits. Assuming mobility misdirects care, neglecting psychological needs like social engagement, critical for preventing isolation and supporting mental health in sensory-impaired patients.

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A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient diagnosed with terminal cancer asks the nurse what the criteria are for hospice care. Which information should the nurse share with the patient?

Correct Answer is D

Explanation

A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?

Correct Answer is C

Explanation

A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand. The patient describes the pain as throbbing. Which type of pain does the nurse document in this patient’s medical record?

The patient has a colostomy but has not yet been able to look at it. The nurse teaches the patient how to care for the colostomy. The nurse sits with the patient and together they form a plan on how to approach dealing with colostomy care. Which caring process is the nurse performing?

In caring for the patient’s spiritual needs, the nurse asks 20 questions to assess the patient’s relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

A nurse is caring for an older-adult patient on bed rest with potential sensory deprivation. Which action will the nurse take?

A nurse is called into the supervisor’s office regarding deteriorating work performance since the loss of a spouse 2 years ago. The nurse begins sobbing and says, “I’m falling apart at home as well.” Which type of grief is the nurse experiencing?

Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?