People who are experiencing panic-level anxiety can act impulsively and endanger their safety
Indicate whether the statement is true or false
True
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A patient in the long-term phase of the rape-trauma syndrome had intrusive thoughts of the attack and developed fears of being alone. Which finding best demonstrates the patient has improved? The patient:
a. uses increased activity to reduce fear. b. plans coping strategies for fearful situations. c. temporarily withdraws from social situations. d. expresses willingness to engage in sexual activity.
The physician orders an indwelling urinary catheter for a client who is mildly confused and has been combative. How should the nurse proceed?
1) Ask a colleague for help, because the nurse cannot safely perform the procedure alone. 2) Gather the equipment and prepare it before informing the client about the procedure. 3) Obtain an order to restrain the client before inserting the urinary catheter. 4) Inform the physician that she cannot perform the procedure because the client is confused.
A nurse is starting a new shift and assessing the client who has an oral endotracheal tube in place. Which finding requires immediate intervention?
A. The client has been intubated for four days. B. The endotracheal tube is midline in the mouth. C. The endotracheal tube is taped to the lower jaw. D. The client has hydrocolloid membrane on the skin of the cheeks.
Which assessment finding(s) might suggest that the patient has low self-esteem and requires more in-depth assessment? Select all that apply
a. Infrequent eye contact b. Straight posture c. Overly critical of others d. Careful grooming