Which of the following is a priority in dealing with a highly anxious patient?
A.
Provide support to reinforce a sense of security.
B.
Implement strict limit setting to control behavior.
C.
Increase environmental stimuli to distract the patient.
D.
Provide more freedom to promote self-expression.
ANS: A
Support and safety are key interventions in anxiety. Responses B, C, and D may all add to anxiety.
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A patient in the ICU is seriously ill following surgery for a ruptured gallbladder. Palliative care is being considered. Which statements, made by family members, would the nurse evaluate as potential barriers to providing palliative care?
1. "I know she is really sick, but modern medicine can work miracles." 2. "I am so concerned that she is in pain." 3. "I just know the new antibiotic will turn her around." 4. "I think we should consider transferring her to a bigger hospital." 5. "She isn't eating enough."
The 65-year-old overweight, hypertensive male farmer tells the home health nurse that he eats two fried eggs, four pieces of bacon, and biscuits with gravy every morning for breakfast because he believes that a robust breakfast keeps him healthy
What would be the most appropriate response by the nurse? a. "That sort of food is not on your low-sodium diet." b. "You won't be healthy long with a diet like that." c. "One egg and whole wheat toast would be even healthier." d. "You should eat whole-grain cereal with fruit instead of all that fat and sodium."
A patient who has been diagnosed with a form of gastric carcinoma is concerned about the prospects of her adult children having the disease
Which questions by the nurse shows an understanding of the disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Do any of your children smoke either cigarettes or cigars?" 2. "Have any of your children ever been treated for a stomach ulcer?" 3. "Have your children ever been tested for asthma?" 4. "Are any of your children particularly fond of eating bacon, hot dogs, or luncheon meats?" 5. "Are any of your children exhibiting signs of depression or obsessive compulsive disorder?"
When a home health nurse visits a family for the first time, what is the nurse's primary goal?
a. Complete physical examinations on as many family members as time allows. b. Have the family complete as many assessment tools as time allows. c. Make sure all records, including third-party payer information, are accurate. d. Observe and interview the family to identify family strengths and needs.