1. A nurse in a long-term care center is caring for an adult client who has Alzheimer's disease and whose partner died several years ago. The client
... [Show More] appears upset and asks the nurse when his partner will visit again. The nurse states. "It seems like you are feeling lonely. Let's take a walk outside and talk." Which of the following communication strategies is the nurse using?
A. Reminiscence therapy (Reminiscence therapy encourages the client to reflect on and think about the past. This therapy most often takes place in a group setting where older adult clients share significant past events with their peers.)
B. Feedback (Feedback gives information to clients about how others perceive them and helps them consider changing their behavior.)
C. Validation therapy
D. Reflecting (Reflecting refers questions and feelings back to client, so they realize that their point of view has value. This technique is used most often when clients ask the nurse for advice.)
C. Validation therapy ( The nurse is using validation therapy as a strategy to communicate with the client. This strategy validates the client's feelings and emotions, even when they don't coincide with reality. The nurse should also attempt to integrate redirection techniques without the client realizing they are being redirected.)
2. A nurse is reinforcing teaching with a client whose provider has prescribed electroconvulsive therapy (ECT). Which of the following information should the nurse include?
a. The client will receive continuous oxygen during the electrical stimulation intervals. Incorrect
(The client will receive oxygen throughout the procedure. However, the oxygen will be removed during the brief electrical stimulation intervals.)
b. A benzodiazepine will be administered prior to the procedure. Incorrect (A benzodiazepine should not be administered because it interferes with the seizure process. A short-acting anesthetic, such as propofol, will be administered.)
c. ECT is an option for clients after medication has been unsuccessful.
d. Confusion is expected for the first 2 days after treatment. (Clients who receive ECT can have confusion and disorientation for several hours after treatment.)
C. ECT is an option for clients after medication has been unsuccessful. (Medication is the first-line of treatment for depression. ECT is prescribed when medication has been unsuccessful.) [Show Less]