The nurse most effectively implements guided reminiscence during a patient interview by

controlling the interview by selecting the memories to be discussed

encouraging the patient to relive his or her memories while maintaining focus

scheduling several short interviews rather than one long one

reminding the patient to share important memories of the past

Answer and Explanation

The Correct Answer is B

A.   controlling the interview by selecting the memories to be discussed: Guided reminiscence should be a collaborative process between the nurse and the patient. The nurse should facilitate the conversation and encourage the patient to share their own memories, rather than imposing specific topics.

B.   Guided reminiscence is a therapeutic technique that involves helping individuals recall and reflect on past experiences. The goal is to promote positive emotions, improve cognitive function, and enhance a sense of well-being.
C.   While it may be helpful to break up the reminiscence sessions into shorter intervals, the focus should be on creating a comfortable and supportive environment for the patient to share their memories.
D.   While it may be helpful to prompt the patient to recall specific memories, the emphasis should be on allowing the patient to freely explore their own memories and experiences.

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Correct Answer is B

Explanation

A. Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B. Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C. Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D. Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.

A. tell the patient to consult a dietician about ways to correct chronic constipation B. tell the patient to avoid laxatives because they can interfere with medications already being taken C. educate the patient about the side effects of regular laxative use D. tell the patient to consult the health practitioner before using nonprescription drugs

Correct Answer is D

Explanation

A. While dietary changes can be helpful for managing constipation, it's still important for the patient to consult with their healthcare provider before using laxatives.
B. This statement is partially correct, but it's important to note that not all laxatives interact with all medications. The patient should consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
C. While it's important for the patient to be aware of the potential side effects of laxatives, the most important step is to consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
D. While constipation can be a bothersome issue, it's important for patients to consult with their healthcare provider before using over-the-counter laxatives. This is especially true for patients who are already taking prescription medications, as laxatives can interact with other drugs and potentially cause adverse effects.

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The nurse most effectively implements guided reminiscence during a patient interview by

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Correct Answer is B

Explanation

Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

Correct Answer is D

Explanation

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