The home health psychiatric nurse is working with a client with diabetes who is status post-myocardial infarction. The client states that he believes "all that touchy-feely stuff like relaxation exercises is for the birds"
The nurse explains that nonpharmacological interventions such as this work by: a. stimulating the sympathetic nervous system to respond to release stress hormones
b. blocking the stress receptors in the heart and intestinal tissue
c. erasing the thoughts and images connected to the stressful situation
d. permitting the parasympathetic system to exert a calming influence during stressful situations
D
Nonpharmacological interventions such as hypnosis, imagery, relaxation, and music therapy allow the parasympathetic system to exert a calming influence during stressful situations. This can be understood through the concept of mind modulation. As an example, the nurse could relate to the client's own experiences in which listening to calming music or thinking of an especially pleasant memory physically relaxed the client.
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The patient's usual schedule has not been followed, and by midafternoon, he is angry and raises his voice to complain to the nurse clinician. Which course of action for the nurse clinician would be best? a. Explain the reasons for the problem, and take over his care for the rest of the shift. b. Validate his distress, review the options, and ask what he would like to happen. c. Apologize and ask that he be patient with the situation for the rest of the shift. d. Ask him to control his anger, and ask him if he too wasn't once new at something.
A patient has been admitted for treatment of diabetic ketoacidosis (DKA). The nurse should include which intervention in the patient's plan of care?
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A laboring multipara is having intense uterine contractions with incomplete uterine relaxation between contractions. Vaginal examinations reveal rapid cervical dilation and fetal descent. The nurse should:
A. Notify the physician of these findings. B. Place the woman in knee-chest position. C. Turn off the lights to make it easier for the woman to relax. D. Assemble supplies to prepare for a cesarean birth.
The third-leading cause of death in teenagers is:
1. Cancer 2. Suicide 3. Accidents 4. Drug overdose