The nurse has been working with a patient who experiences anxiety. Which intervention should the nurse implement initially when the patient is observed pacing and wring her hands?
a. Asking how she has managed anxiety effectively in the past
b. Distracting her by offering to help her make a telephone call
c. Asking her what she believes is causing her increased anxiety
d. Teaching her to take deep, relaxing breaths to manage the anxiety
ANS: A
First help the patient to build on the coping methods that the patient used to manage anxiety in the past. Coping methods that were previously successful will generally be effective in subsequent situations. Distraction is not usually successful initially. Assessing for the cause of the anxiety will not, in this situation, be helpful in managing it; often times patients are not aware of the cause. Teaching will not be effective while the patient is experiencing anxiety but should be done when the patient is relaxed and able to focus.
You might also like to view...
The nurse is performing a focused interview with the client and asks the client if there has been any drainage from the ears. The client responds, "Yes." Which statement by the health care provider indicates that the client may have developed acute otitis
1. "The ear canal itself is really red, raw, and sore." 2. "I noticed that the drainage looked clear, like water." 3. "The drainage looks like what is draining from my nose, kind of clear and mucous-like." 4. "It is kind of yellowish-reddish color."
The nurse is caring for a patient diagnosed with threadworm infestation. What is the nurse's priority assessment related to common manifestations of this infestation?
A) Gastroenteritis B) Pneumonia C) Hematuria D) Tarry stools
A diabetic patient has been admitted with renal failure. The nurse will monitor for the most life-threatening effect of renal failure which is the:
A) Accumulation of wastes B) Retention of potassium C) Depletion of calcium D) Lack of blood pressure control
A group of clients is signing up for a Telehealth company called ISelectMD. The nurse educates them about ISelectMD by telling them which of the following? (Select all that apply.)
a. The employer's health insurance charges a minimal additional health premium fee monthly. b. Each employee has 24/7 access to a physician via Telemedicine by signing onto a website and entering his symptoms, and paying a "visit" fee. c. A follow-up call is made 2 days later to determine whether the health issue was resolved. d. The physician "on call" reviews client's medical history and current symptoms, makes a diagnosis, and e-mails in a prescription, if needed. e. Minor conditions such as urinary tract infections or respiratory illness can be treated in this remote technology fashion. f. Acute conditions such as chest pain or deep vein thrombosis can be treated in this remote technology fashion.