A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares. In working with this client to overcome the problem, the nurse may implement which of the following as part of therapy?
1. Guided imagery
2. Hypnotherapy
3. Yoga
4. Meditation
Correct Answer: 1
Rationale 1: Guided imagery is a state of focused attention that encourages changes in attitudes, behavior, and physiologic reactions. Guided imagery can help people learn how to stop troublesome thoughts and focus on images that promote relaxation and decrease the negative impact of stressors.
Rationale 2: Hypnotherapy is an advanced form of relaxation and can be used to help people gain self-control, improve self-esteem, and become more autonomous.
Rationale 3: Yoga includes ethical models for behavior and mental and physical exercises aimed at producing spiritual enlightenment.
Rationale 4: Meditation is a general term for a wide range of practices that relax the body and help ease the mind.
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A patient who has a radial artery catheter in place is complaining of numbness and tingling in the fingers. What is the nurse's priority assessment?
1. Is there a palpable pulse? 2. Is blood is easily obtained from the catheter? 3. Does the patient have a fever? 4. Does the waveform have a characteristic appearance?
A family member asks the nurse what the worst consequences of overdosing on valproate (Depakote) would be. The family member worries that the client has overdosed on medications in the past. What is the correct nursing response?
A) Stevens-Johnson syndrome B) Severe coma and death C) Headache for several hours D) Insomnia
The nurse in the PICU is caring for a 4-year-old child who was in a motor vehicle accident three days ago. The child is sedated with many IV lines, a catheter, and a ventilator
The plan of care requires new positioning every three hours and indicates for the child to have a skin check done every hour. Indicate an area of concern for skin breakdown. (Select all that apply.) 1. The area around the child's mouth where the endotracheal tube is taped 2. The peri-area because of the immobility and dampness to the area 3. The IV site because of the possibility of infiltrations 4. The scapula because the child rests more comfortably on her back 5. All of the above are areas of concern for skin breakdown.
Dehydration can cause which result?
a. Moist mucous membranes b. Weak pulses c. Tachycardia d. Polyuria e. Weight loss