The nurse notices that a client is unable to control anger when criticized during a group meeting, even though the client had been able to do this effectively for several weeks
Which of the following interventions would be most appropriate in the nurse's next one-to-one therapeutic session with the client? 1. Encourage the client to express responses to criticism freely.
2. Insist the client take a "time-out" until anger is back under control.
3. Offer the client a PRN dose of ziprasidone (Geodon®).
4. Encourage a detailed exploration of how the client reacts to criticism.
4
Rationale: Encouraging an in-depth exploration of the client's feelings and thoughts can contribute to increased insight. Moving too quickly and incompletely through an exploration of feelings may explain the client's inability to maintain new behaviors. Encouraging the client to express responses to criticism freely is inappropriate because of the risk of harm to self or others. Insisting the client take a time-out, or offering the client a PRN medication for agitation, may be appropriate for immediate action, but would not be necessary during the next one-to-one therapeutic session.
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The central chemoreceptors are stimulated by
a. decreased PaO2 . c. decreased SaO2. b. increased PaO2 . d. increased PaCO2.
During the preoperative phase of patient education, a patient who is a known smoker should be instructed to
A) Reduce smoking to prevent the development of pneumonia. B) Increase his exercise regime to promote pulmonary function. C) Stop smoking at least 24 hours prior to surgery to promote pulmonary function. D) Utilize the NicoDerm patch to enhance pulmonary function and decrease infection.
A client diagnosed with open-angle glaucoma asks the nurse what that means. With which of the following responses should the nurse instruct the client?
1. "The eye cannot drain the fluid that it produces.". 2. "It means that the condition occurs within days.". 3. "It is a rare type of glaucoma.". 4. "One of the first signs of it is pain behind the eyes.".
What principles are used for determining dressing materials for Mr North?
John North, 53, has a history of type I diabetes mellitus, cigarette smoking (40 pack years), coronary artery disease (CAD) and peripheral vascular disease (PVD). Six weeks ago, he developed a wound on his left heel that measured 4 cm by 2 cm. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a below knee amputation (BKA) of the left lower extremity tomorrow at 10 am. His meds include daily insulin, aspirin 325 mg/day and Pletal (cilostazol) 100 mg b.i.d. He has an advanced directive and no known drug allergies (NKDA). What will be an ideal response?