A patient is admitted to the CCU complaining of pain from a femur fracture and is anxious and agitated. The patient is receiving steroids and theophylline for exacerbation of asthm
a. The nurse should assess the patient for
a. anxiety.
b. low self-esteem.
c. regression.
d. suicidal ideations.
A
Pain triggers anxiety, and increased anxiety intensifies pain experiences. This reciprocal relationship varies, depending on whether pain is produced by disease processes or invasive procedures, is acute or chronic in nature, or if the pain is anticipated. Medications such as theophylline, anticholinergics, dopamine, levodopa, salicylates, and steroids can also contribute to feelings of anxiety. Self-esteem refers to how well one's behavior correlates with a sense of the ideal self and is most closely linked to one's sense of self-worth. Regression is an unconscious defense mechanism characterized by a retreat, in the face of stress, to behaviors characteristic of an earlier developmental level.
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