A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states that a house fire is not likely
This counseling demonstrates the principles of:
a. Flooding
b. Desensitization
c. Relaxation technique
d. Cognitive restructuring
ANS: D
Cognitive restructuring involves the patient in testing automatic thoughts and drawing new conclusions. Desensitization involves a graduated exposure to a feared object. Relaxation training teaches the patient to produce the opposite of the stress response. Flooding exposes the patient to a large amount of undesirable stimuli in an effort to extinguish the anxiety response.
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A nurse is bathing an elderly patient in the ICU. The patient has fine wrinkling, looseness, and sagging in her skin. Which of the following should the nurse do to best care for the patient's skin? Select all that apply
A) Scrub the patient's skin vigorously with a loofah to exfoliate. B) Lather the patient with plenty of soap. C) Immerse the patient for 10 minutes daily. D) Use an emollient after bathing.
A nursing instructor is educating a class of student nurses about charting direct statements made by a patient. The best example of this would be
1. States, "He vomited everything he ate and drank yesterday." 2. States, "He is in excruciating pain. The pain is unrelieved by analgesics." 3. States, "The pain is getting worse. I don't know if I can stand it or not." 4. States, "His pain is getting worse and he doesn't know if he can stand it or not."
Why are screening tests called presumptive?
A. If the test is positive, it may be assumed that the disease is present. B. The tests lead to symptoms being recognized. C. They detect previously unrecognized signs and symptoms. D. With less than 100% accuracy, referral for further tests is necessary.
A Stage IV pressure ulcer appears as
A. full-thickness skin loss extending to the muscle, tendon, or bone. B. partial-thickness skin loss with an abrasion or blistered surface. C. full-thickness skin loss with damage of subcutaneous tissue. D. a highly defined area or red, shiny, intact skin.