The client repeatedly asks the nurse about the medical protocol for his pancreatitis. Because of the focus on this one concern, the nurse assesses
a. mild anxiety.
b. moderate anxiety.
c. no anxiety at all.
d. severe anxiety.
B
Focusing on only one concern is a manifestation of moderate anxiety. In mild anxiety a person is alert and able to learn or to solve problems. In severe anxiety, a person has decreased sensory perception, can focus only on details, and is unable to learn new information.
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When caring for a client who has just experienced an acute myocardial infarction (MI), the nurse places highest priority on which of the following nursing diagnoses:
A) Acute Pain B) Ineffective Coping: Denial C) Anxiety D) Ineffective Breathing Pattern
What part of a client's history is important to note prior to a hystersalpingogram?
a. history of claustrophobia b. ability to swallow barium c. allergies to iodine or dye d. presence of metal objects in the body
A nurse is using the PLISSIT model when caring for a patient with dyspareunia from diminished vaginal secretions. The nurse suggests using water-soluble lubricants. Which component of PLISSIT is the nurse using?
a. P b. LI c. SS d. IT
Which response by the instructor is best?
A. "Yes, as long as you ask the family if that would be OK." B. "I think that would be OK, but you should check hospital policy." C. "No, posting pictures of patients and families on social media sites is not acceptable." D. "No, that could lead to a malpractice suit by the patient or family."