A patient with mania dances around the unit, seldom sits or sleeps, and monopolizes conversations. Which nursing intervention will best assist the patient with energy conservation?
a. Monitor physiological functioning.
b. Provide a subdued environment.
c. Observe for mood changes.
d. Supervise personal hygiene.
B
All the options are reasonable interventions with a patient with acute mania, but the correct answer directly relates to the outcome of energy conservation. A subdued environment decreases stimulation, which will help balance activity and rest.
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Brief emergency intervention for acute psychological trauma can result in all EXCEPT which of the following?
a. prevention of development of post-traumatic stress disorder b. a paradoxically higher incidence of post-traumatic stress symptoms c. social stigmatization as permanently traumatized d. reframing of cognitive appraisal from helpless to no longer helpless
A patient who has undergone a colectomy is demonstrating wound healing. The nurse correctly identifies the wound phase characterized by synthesis of collagen fibers as which of the following?
a. Proliferative phase b. Inflammation phase c. Hemostasis phase d. Secondary intention phase
Which unexpected circumstance best defines a fall?
a. Falls to the ground, floor, or lower level b. Loses consciousness, resulting in injury c. Loses balance, resulting from a lack of equilibrium d. Injures self, resulting from a side effect of a medication
Research currently identifies which of the following as the primary reason nurses do not use complementary therapies?
1. Workloads prevent routine implementation 2. Client reluctance to participate appropriately 3. General bias regarding effects of the therapies 4. Lack of education regarding their appropriate uses