A patient is demonstrating severe (+3) anxiety. Nursing interventions will center around
a. encouraging ventilation and refocusing attention.
b. discussing possible sources of anxiety.
c. taking control to guide the patient.
d. decreasing stimuli and pressure.
D
Severe anxiety requires intervention to relieve the heightened tension and discomfort that the patient is experiencing. Perceptions are often distorted, focusing is difficult, and problem solving is impossible, even with help. Environmental simplification and kind, firm directions are approaches to decreasing stimuli and pressure. The other options will not be as effective.
You might also like to view...
The nurse would anticipate the need for eye patching for a child with which condition?
A) Astigmatism B) Hyperopia C) Myopia D) Amblyopia
A client being started on antipsychotic medication has recently delivered her first child and wishes to breast-feed the infant. The nurse correctly instructs the client that breast-feeding while taking antipsychotic medications is:
a. not contraindicated because the mother's liver metabolizes medications for the infant b. contraindicated because these medications block proper absorption of the milk c. not contraindicated because these medications are not harmful to an infant d. contraindicated because these medications are excreted in breast milk
A patient will begin taking dimercaprol (BAL in Oil) for arsenic poisoning. The nurse performs a medical history on this patient. Which aspect of the patient's history would cause the most concern?
a. Anemia b. Lead exposure c. Peanut allergy d. Peptic ulcer disease
L.W. asks you to tell her about abortion. What will you tell her?
What will be an ideal response?