Which of the following can the nurse do to assist a client who was raped and is reliving the event over and over in her mind?
1. Instruct in guided imagery
2. Provide antianxiety medication
3. Suggest the client participate in a distracting activity
4. Tell the client that the event is over and it is now time to move on
1. Instruct in guided imagery
Rationale:
Guided imagery can be used to gain control over memories of the rape, the goal being to reduce the frequency of flashbacks. The client may or may not need antianxiety medication. The client is unable to be distracted at this time. The nurse should not tell the client to move on; only the client knows when she will be ready to do this.
You might also like to view...
The nurse has implemented a community-wide immunization program for seasonal influenza. Once the program has ended, what action by the nurse is best?
a. Begin planning for next year's program. b. Send mail surveys to participants. c. Determine financial gains or losses. d. Evaluate the program and outcomes.
A client has a slight shift to the left on the oxygen-hemoglobin dissociation curve. Which of the following assessment findings will support this curve configuration?
1. Arterial pH less than 7.35 2. Increased levels of 2,3-diphosphoglycerate 3. Hyperthermia 4. Hypothermia
Medication adherence is also complicated in clients with schizophrenia because all antipsychotic medications have side effects that can interfere with normal daily functioning. Using your knowledge of antipsychotic,
what is the side effect of most concern that must be addressed in patient teaching with first-generation antipsychotics? A) Tardive dyskinesia B) Akathisia C) Dystonia D) Neuroleptic malignant syndrome
The nurse hears rhonchi when auscultating a client's lungs. Which nursing intervention would be appropriate for the nurse to implement before reassessing lung sounds?
a. Have the client take several deep breaths. b. Request the client take a deep breath and cough. c. Take the client's blood pressure and apical pulse readings. d. Count the client's respiratory rate for 1 minute.