You are caring for a client with infective endocarditis who is experiencing fear and anxiety related to changes in her health status. What nursing measures are appropriate to help decrease the fear and anxiety? Select all that apply
1. Provide factual information concerning diagnosis, treatment, disfigurement, disabilities, and prognosis.
2. Explain all procedures and allow time for mental preparation.
3. Tell the client not to worry, that everything will be fine.
4. Explain to the client that it is better not to be informed prior to procedures, as this increases anxiety.
5. Tell the client that it is not your job to inform her about the procedure.
1. Provide factual information concerning diagnosis, treatment, disfigurement, disabilities, and prognosis.
2. Explain all procedures and allow time for mental preparation.
Rationale: Provide factual information concerning diagnosis, treatment, disfigurement, disabilities, and prognosis. Truthful explanations increase trust and potentially decrease anxiety, fear, and anxiety of the unknown. Explain all procedures and allow time for mental preparation. It is important to give the client time to process the information to be sure it is clearly understood. Often there are more questions after the initial explanation. Tell the client not to worry, that everything will be fine. Telling the client not to worry is dismissive ,and fear of the unknown potentially increases anxiety. Explain to the client that it is better not to be informed prior to procedures, as this increases anxiety. Truthful explanations increase trust and potentially decrease anxiety, fear, and anxiety of the unknown. Tell the client that it is not your job to inform her about the procedure. This is an unprofessional, inappropriate response. It is the nurse's job to help decrease the client's anxiety. Accomplishing this goal may be multifaceted. The nurse must verify the client's understanding and then notify the surgeon that she needs to discuss the procedure so there is informed consent.
You might also like to view...
A young adolescent client is in the hospital preparing for major surgery for the removal of a tumor on the kidney. The client's mother tells the nurse that she doesn't want the child to receive narcotics for pain postoperatively
Which is the best response by the nurse? A) "Okay, I'll tell the healthcare provider not to order any. Are you sure you want to do this?" B) "The pain will be severe. Why don't we ask your child about this?" C) "The pain for your child will be severe after surgery. Can you tell me why you feel this way?" D) "You do not have a choice of medication. Decisions involving pain relief are up to the healthcare providers."
A patient with kidney stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). What should the nurse include in the patient's post-procedure care?
A) Strain the patient's urine following the procedure. B) Administer a bolus of 500 mL normal saline following the procedure. C) Monitor the patient for fluid overload following the procedure. D) Insert a urinary catheter for 24 to 48 hours after the procedure.
The manager is conducting an informal negotiation between two staff members who have had ongoing difficulty working together peacefully
Most recently there was an argument about who would be scheduled for first lunch each day. At this stage of the informal negotiation, the manager is focusing on managing the emotions and setting the ground rules. Which stage does this demonstrate? 1) Setting the stage 2) Conducting the negotiation 3) Making offers and counteroffers 4) Agreeing on resolution of the conflict
A child with nephrotic syndrome is severely edematous. The doctor has placed him on bedrest. Which would be an important nursing intervention for this child?
1. Reposition the child every 2 hours. 2. Monitor blood pressure every 2 hours. 3. Encourage fluids. 4. Limit visitors.