A client being treated for compartment syndrome has been hospitalized for 4 days
He has no history
of psychiatric disorder but is described by his family as being "a difficult person who finds fault
with others.". From the day of admission he has verbally abused the nurses for their inability to
provide care that keeps him pain free and comfortable. Nursing interventions that should be
introduced include (multiple answers may be correct)
A. providing activities that distract or entertain.
B. clarifying actions the nurse can take.
C. providing medication on schedule.
D. meeting requests only when politely verbalized.
E. establishing penalties for inappropriate behavior.
F. encouraging the client to plan with nurse.
A, B, C, F
Rationale: Option A: Helping the client focus on things other than his discomfort can reduce anxiety.
Option B: Clients who externalize discomfort and blame expect relief to come from external sources.
They often have unrealistic beliefs about what a nurse can do. Careful explanation that clarifies can
reduce unrealistic expectations. Option F: When the client takes responsibility for planning with
staff, the client will have a greater investment in outcomes and will usually agree to modify
behaviors in support of having needs met. Option C: Providing medications and treatment according
to a schedule, rather than on an as-needed basis, helps the client establish trust that the staff will
meet his needs sooner rather than later. Option D: The nurse must respond to certain client needs,
whether articulated politely or not. Option E: Establishing penalties would not be an independent
nursing intervention.
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