Eileen, 46 years old is admitted due to inability to sleep, lack of appetite to eat and attend to the usual household chores. Her husband states that her present condition started six months ago after the death of thier only son.
91. During the initial assessment, Eileen answer questions with extreme slowness. The nurse's appropriate nursing intervention is:
A. Wait for Eileen to answer your questions patiently
B. Repeat the question if needed
C. Fill the intervening silence with relevant remarks
D. Listen intently to what she is saying
92. The appropriate topic during the orientation of nurse-patient relationship is:
A. Purpose of the nurse-patient interactions
B. Explore dysfunctional areas in the patient's life
C. Evaluation of problems and goals
D. Identification of effective ways of dealing with stress
93. During a psychotherapeutic session, Eileen diverts to irrelevant topic when her son is mentioned. The nurse can help identify her feelings and conserns by asking:
A. "Are you uncomfortable with our conversation?"
B. "Can you tell me what topic upset you next session?"
C. "We will stop this session to rest your mind, is it alright with you?"
D. "What happened? Why did you change the topic?"
94. Eileen is given Elavil 75 mg. Once a day, and complains being sleepy most of the time during the day. The nurse should:
A. Administer the medication at bed time
B. Explain to Eileen that the sleepiness will gradually disappear
C. Encourage Eileen to join planned activities
D. Monitor the amount of rest she gets during daytime
95. The behavior which would most likely indicate improvement of Eileen's condition is when she:
A. Socializes with other patients
B. Participates in scheduled activities
C. Expresses willingly her feelings and concerns
D. Shows understanding of her condition
