A client who is known to be angry and impulsive is hospitalized after an automobile accident in
which he sustained severe orthopedic injuries.
When in pain, he loudly berates nursing staff for "not
knowing enough to give me my pain medicine when I need it.". The nursing diagnosis of "ineffective
coping related to inappropriate methods for handling anger associated with delayed pain relief" is
recorded. A nursing intervention designed to address this would be
a. telling the client to notify nursing staff one half-hour before the pain returns so
they can prepare his medication.
b. telling the client his verbal assaults on nurses will do nothing to shorten his wait
for as-needed medication.
c. urging the physician to change the as-needed order for pain medication to every 4
hours.
d. having the clinical nurse leader request a psychiatric consultation.
C
Scheduling the medication at specific intervals will help the client anticipate when the medication
can be given. Receiving the medication promptly on schedule, rather than expecting nurses to
intuitively know his pain level, should reduce anxiety and anger. Option A expects the client to
predict onset of pain before it occurs. Option B is a thinly veiled threat. Option D is not necessary at
this point.
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A client is concerned because she has been told her blood type and her baby's are incompatible. The best response by the nurse would be:
1. "This is called ABO incompatibility, and if the baby becomes jaundiced, she can be treated with a special light treatment." 2. "This is a serious condition, and additional blood studies are currently in process to determine whether you need a medication to prevent it from occurring with a future pregnancy." 3. "This is a condition caused by a blood incompatibility between you and your husband, but does not affect the baby." 4. "This type of condition is very common, and the baby can receive a medication to prevent jaundice from occurring."
Developing or changing leadership styles may require all of the following EXCEPT
A. Setting new boundaries B. Temporarily avoiding an affiliative approach C. Making sure that everyone approves of the changes D. Holding a meeting to make any new expectations clear
In treating clients with prolonged anxiety, the nurse knows it is most important to teach:
A) Communication skills. B) Problem-solving when anxiety is at a low level. C) Exploration of old and ineffective coping strategies. D) Expression of anger.