A client tells the nurse that he continues to relive a situation in which his place of employment was robbed by gunmen and he has nightmares of being shot
The nurse would identify the most appropriate nursing diagnosis for this client as being: 1. Anxiety.
2. Ineffective Coping.
3. Post-traumatic Stress Disorder.
4. Fear.
3. Post-traumatic Stress Disorder.
Rationale:
The client is reliving a traumatic event and has nightmares of being shot. This information would support the diagnosis of post-traumatic stress disorder. The other diagnoses might be appropriate; however, post traumatic stress disorder would be the priority diagnosis at this time.
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Several nurses were discussing methods of restraint used in the 19th century. What are some of the methods the nurses might have noted? Select all that apply
1. Mitts 2. Seclusion 3. Strapping 4. Hydrotherapy 5. Straightjacket
A parent calls the clinic nurse because his 7-year-old child was bitten by a black widow spider. What action should the nurse advise the parent to take?
a. Apply warm compresses. b. Carefully scrape off the stinger. c. Take the child to the emergency department. d. Apply a thin layer of corticosteroid cream.
After a total proctocolectomy and permanent ileostomy, the patient tells the nurse, "I cannot manage all these changes. I don't want to look at the stoma." What is the best action by the nurse?
a. Reassure the patient that ileostomy care will become easier. b. Ask the patient about the concerns with stoma management. c. Develop a detailed written list of ostomy care tasks for the patient. d. Postpone any teaching until the patient adjusts to the ileostomy.
Direct lighting is the best form of lighting for patient rooms.
Answer the following statement true (T) or false (F)