It is important for the nurse to obtain a thorough history from a patient who is experiencing anxiety. This history will help to distinguish Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. the best method of pharmacotherapy.
2. whether the patient might benefit from individual or group therapy.
3. the category of anxiety disorder.
4. the region of the brain that is causing the anxiety disorder.
5. substances that might worsen anxiety.
1,2,5
Rationale 1: The health care provider must accurately diagnose the anxiety disorder, because treatment differs among the various types of anxiety disorders. Some anxiety disorders are debilitating and require effective pharmacotherapy.
Rationale 2: Some patients benefit from individual or group psychotherapy, which can help them identify and overcome the root causes of their worry and fear.
Rationale 3: A thorough health history is not used to determine the category of anxiety disorder.
Rationale 4: A thorough health history is not used to determine the region of the brain that is causing the anxiety disorder.
Rationale 5: When obtaining a comprehensive medication history during the initial patient assessment, the nurse should observe any substances the patient is taking that might worsen or cause anxiety symptoms. Sometimes discontinuing or substituting an alternate drug for these "anxiety-promoting" medications can lessen patient symptoms.
Global Rationale: The health care provider must accurately diagnose the anxiety disorder, because treatment differs among the various types of anxiety disorders. Some anxiety disorders are debilitating and require effective pharmacotherapy. Some patients benefit from individual or group psychotherapy, which can help them identify and overcome the root causes of their worry and fear. When obtaining a comprehensive medication history during the initial patient assessment, the nurse should observe any substances the patient is taking that might worsen or cause anxiety symptoms. Sometimes discontinuing or substituting an alternate drug for these "anxiety-promoting" medications can lessen patient symptoms. A thorough health history is not used to determine the category of anxiety disorder or the region of the brain that is causing the anxiety disorder.
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1. Beginning the respiratory assessment 2. Beginning the musculoskeletal status assessment 3. Beginning the medication assessment 4. Beginning the psychosocial assessment
In preventing infection of a central line, the nurse must perform which of the following hand hygiene protocols? Select all that apply
a. Between each patient b. Before, but not after, palpating catheter insertion site c. Only when hands are obviously soiled d. After using the bathroom e. Before and after palpating catheter insertion site f. Before and after invasive procedures
The home health nurse is visiting a new mother whose baby was delivered by emergency cesarean after a car accident. The mother seems dazed, irritable, and unaware of her surroundings. She tells the nurse she has had trouble sleeping
The nurse would suspect that the mother has: 1. Post-traumatic stress disorder. 2. Postpartum blues. 3. Postpartum psychosis. 4. Disenfranchised grief.
What part of the client's record is commonly used to document specific client variables, such as vital signs?
A) Progress notes B) Nursing notes C) Critical paths D) Graphic record