A patient who was held hostage for 12 hours by a carjacker now repeatedly states, “I can’t believe it happened to me!” while admitting to feeling anxious and being afraid of strangers and of ever driving again. The nurse’s interventions should target: (Select all that apply.)

a. denial.
b. anxiety.
c. confusion.
d. self-efficacy.
e. suicide potential.


Answer: A, B, D
The patient is using denial, admits to anxiety, and has self-doubts. These would be appropriate targets for intervention.

Nursing

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The nurse is reviewing pain medications prescribed for an older client. Which medications should the nurse question before administering? (Select all that apply.)

1. Nalbuphine (Nubain) 2. Meperidine (Demerol) 3. Acetaminophen (Tylenol) 4. Propoxyphene (Darvocet) 5. Buprenorphine (Buprenex)

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A client expresses anxiety regarding the 20-year-old daughter's ability to handle effectively the pressures of a career as a social worker

What factor is of highest priority in the daughter's ability to adapt to adverse circumstances in career that the nurse should address with the client at this time? A) The financial returns that she expects the career to offer B) Adjustments made by her throughout childhood and adolescence C) The support that she perceives from her peers D) The parent's involvement in choosing the career for her

Nursing

The nurse knows that effective communication with children and their parents is critical to providing atraumatic quality nursing care. Which statement accurately describes the communication patterns of children?

A) Communication patterns are similar from one child to the next. B) Children often use more words than adults to describe their fears. C) Children rely more on nonverbal communication and silence. D) Parents more often require affective communication rather than neutral communication.

Nursing