29. A nurse observes a psychotic patient who is gesturing at afigure on the television and is becoming increasingly agitated.Which interventions should be initiated by the nurse . select allthat apply.
a. orient patient to reality b. in a firm voice instruct thepatient to stop the behavior c. recognize the patients behavior asa delusion d. use therapeutic touch to ensure they are safe e. givesimple commands in a calm voice
30. The nurse is talking to a female patient who is a survivorof intimate partner violence. The woman relates that her husbandhas been in jail many times and has been told he has an antisocialpersonality disorder. The nurse interprets this information andsuspects that the woman’s husband would most likely demonstratewhich personality characteristics?
a. blames others for his actions, is impulsive and takesadvantage of others b. is cold and detached, avoids closerelationships and appears indifferent to praise c. is cautious andwary and does not reveal his personality or otherwise make himselfd. has symptoms of depression along while harboring feelings ofinadequacy
