Quiz Keperawatan

A patient sits quietly for hours and does not respond when spoken to. What is the appropriate initial action?

• Using nonverbal communication approach

• Giving mild sedatives

• Asking the family to persuade

• Inviting the patient to play

• Pressuring to speak

A patient often talks to himself and laughs without reason. The nurse should take the following action, EXCEPT:

• Leaving the patient alone

• Observing for auditory hallucinations

• Asking about the content of his speech

• Recording the frequency of the behavior

• Performing therapeutic approach

A 30-year-old man is hospitalized due to unexplained anger. His family states that a year ago his mother passed away, he has three children all in school, and his wife does not work. The patient states that a month ago he was laid off due to the Covid-19 pandemic. Assessment shows the patient often isolates himself, and when asked, his answers are brief with a flat affect. Based on medical records, his father has a mental disorder. What is the precipitating factor in this case?

• Failure in work

• Often isolating himself

• Wife not working

• Mother's death

• Father has a mental disorder

An elderly person has lived in a nursing home for 13 years. Based on the assessment: The client often isolates himself, cries, and when spoken to, does not want to look at the speaker. The client states he feels his family no longer cares for him and he feels useless. Based on the above case, what is the appropriate nursing diagnosis?

• Depression

• Powerlessness

• Low self-esteem

• Social isolation

• Grief

A 22-year-old man was brought by his family to the psychiatric hospital because he has been isolating himself in his room for two weeks. The family states that the patient has not wanted to go out and meet his friends for four months. During the assessment, the patient mostly remains silent and answers minimally. The patient states that for the past two months, his parents have been fighting. He also mentions that during elementary school, he was often compared to his sister who always excelled, was scolded for getting bad grades, and was even hit for not being able to do what his sister could do. What are the predisposition factors that arise in this patient?

• Not wanting to meet friends

• Parents always fighting

• Isolating himself in his room

• Not wanting to leave the house

• Being hit during elementary school

Mr. L, 40 years old, has been hospitalized for 1 week. During the assessment, Mr. L still does not want to speak but sometimes still mumbles.

What nursing intervention can be performed in the above case?

• Create a daily activity schedule

• Demonstrate how to cope with sadness

• Build a trusting relationship

• Teach social interaction gradually

• Let the client be alone to stay calm

What stage of grief is the patient experiencing?

• Denial

• Bargaining

• Acceptance

• Depression

• Anger

What is the appropriate nursing intervention for the patient?

• Change the food menu without the patient's knowledge

• Force the patient to eat

• Delay eating until the patient is hungry

• Offer packaged food

• Educate about the importance of eating

What is the appropriate nursing diagnosis for the case above?

• Violent behavior

• Self-care deficit

• Hallucination

• Risk of violent behavior

• Low self-esteem