A woman, abducted and raped at gunpoint by an unknown assailant, was found confused and disoriented

The nurse makes these observations about the patient: o talking rapidly in disjointed phrases o unable to concentrate o indecisive when asked to make simple decisions What is the patient's level of anxiety? a. Weak
b. Mild
c. Moderate
d. Severe


D
Acute anxiety results from the personal threat to the victim's safety and security. In this case, the patient's symptoms of rapid, dissociated speech, inability to concentrate, and indecisiveness indicate severe anxiety. Weak is not a level of anxiety. Mild and moderate levels of anxiety would allow the patient to function at a higher level.

Nursing

You might also like to view...

Which is a tool for the assessment of an older adult's functional capability?

a. ADL b. MMSE c. OBRA d. FIM

Nursing

The critical care nurse is monitoring her patient's urine output and drainage from tubes inserted intraoperatively. What would the nurse promptly report to the physician?

A) Increased pain on movement B) Absent drainage C) Increased urine output D) Blood-tinged serosanguineous drainage

Nursing

What is a primary concern of the nurse regarding fluid and electrolytes when caring for the older adult who is intermittently confused?

1. Risk of kidney damage 2. Risk of stroke 3. Risk of bleeding 4. Risk of dehydration

Nursing

What knowledge is gained by nursing students who study nursing's early leaders?

A) An understanding of the evolution of advanced nursing practice B) An inspiration for their own role in shaping the course of nursing C) A litany of names of early educators D) A comparison of nursing and medical advances

Nursing