A patient is being treated for somatoform disorder with psychotherapy and medication therapy. Which interventions are appropriate for the patient's plan of care? Select all that apply
a. Instructing the patient in use of imagery to distract themselves when feeling anx-ious
b. Educating the patient on the identification of side effects related to anxiolytic therapy
c. Monitoring the patient's vital signs to assess for the side effects of benzodiaze-pine administration
d. Discussing the need for long-term cognitive therapy in order to eliminate the symptoms of the disorder
e. Asking the patient to explain the role serotonin selective reuptake inhibitors (SSRIs) play in the management of his symptoms.
ANS: A, B, C, E
Pharmacologic interventions are symptom oriented and include anxiolytics for associated anxiety, antidepressants for associated depression, and short-term benzodiazepine therapy. Monitoring for orthostatic hypotension is recommended when benzodiazepines are pre-scribed. Instructing the patient to perform visual imagery (guided imagery) will reduce anxi-ety by distracting his or her focus on somatic concerns. When used, cognitive therapy is im-plemented short term.
You might also like to view...
A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier. What action by the patient/family would best indicate that short-term goals for this diagnosis have been met?
A. Able to communicate long-term desires for health of the patient B. Demonstrates comprehension by head nodding and saying "yes" C. States understanding of condition and treatment via an interpreter D. Understands how nonverbal communication varies between cultures
Any action on the part of a caregiver to take advantage of an older person, undermine his emotional well-being, or appropriate property is called elder
1. abuse. 2. neglect. 3. respect. 4. exploitation.
A client is dying of brain tumor but has maintained her level of consciousness and cognition, even as death is now imminent
The client's physical condition has deteriorated significantly over the past 48 hours and she adamantly states that she no longer wishes to eat. How should the care team respond to the client's statement? A) Initiate total parental nutrition B) Insert a nasogastric tube for tube feeding C) Have the dietitian liaise with the family to convince the client to eat D) Stop trying to feed the client
A teen was diagnosed with chlamydia. Chlamydia is:
a. The most common STD in the United States b. Diagnosed early due owing to obvious symptoms c. A disease with an incubation period of 1 month d. Not harmful to a developing fetus