A nurse is seeing a patient who reports having had panic attacks "for years." What are some appropriate nursing interventions? Select all that apply
1. Provide relaxation training.
2. Suggest an exercise program.
3. Recommend a medication consultation.
4. Teach the patient how to use diversion tactics.
5. Tell the patient that benzodiazepines would be helpful.
Answer: 1, 2, 3, 4
Explanation: Nursing interventions for older adults with anxiety disorders include relaxation techniques, exercise, and diversion. Long-term management of anxiety is usually best achieved using medications other than benzodiazepines. If left untreated, anxiety can lead to decreased quality of life, cognitive impairments, and increased utilization of public health services.
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A) No prophylaxis is administered because of the severity of adverse effects. B) Call the Centers for Disease Control and Prevention (CDC) or local health department for the safest possible treatment. C) Administer extremely small doses of chloroquine. D) Any antimalarials in appropriate dosages can be administered.
The nurse is conflicted about the harmful effects of an intervention that also will have a beneficial effect for the patient. Which ethical concept gives direction to this nurse?
1. Moral indifference 2. Double effect 3. Justice 4. Fidelity
A patient is to receive nitroglycerin ointment, 1 inch STAT, for elevated blood pressure. What must the nurse do before giving this drug?
a. Shave the hair off the patient's chest. b. Place the patient on a heart monitor. c. Put on a pair of disposable gloves. d. Measure the dose directly on the patient's skin.
There are three major types of advance directives. The patient tells the nurse of having a directive to the physician. What is a directive to the physician?
A) A written and legally witnessed document that request no extraordinary measures to be taken to save a person's life in the event of terminal illness. B) A written and legally witnessed document that directs the physician to be the client's decision maker in the event of terminal illness. C) A written document in which a client names another person to make healthcare decisions should the client become unable to do so. D) Verbal communication that directs the physician to be the client's decision maker in the event of terminal illness.